Individual
MR. DUSTIN SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
312 SE 10TH ST, PRYOR, OK 74361-6811
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R0087696
OK
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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