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Individual

SHANETE KADAN BOLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
103 S 4TH ST, HUGO, OK 74743-4407
(580) 326-8821
Mailing address
103 S 4TH ST, HUGO, OK 74743-4407

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208779
OK

Other

Enumeration date
06/29/2022
Last updated
11/22/2022
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