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Individual

DR. SHELLY DEANN RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
512 E CHEROKEE ST, WAGONER, OK 74467-4710
(918) 485-4775
(918) 485-7611
Mailing address
512 E CHEROKEE ST, WAGONER, OK 74467-4710
(918) 485-4775
(918) 485-7611

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2284
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100761650B
OK
Enumeration date
08/03/2006
Last updated
04/30/2025
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