Individual
MISTY SHALON BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 E OKLAHOMA AVE APT 503, ENID, OK 73701-5956
(580) 402-5115
Mailing address
712 E OKLAHOMA AVE APT 503, ENID, OK 73701-5956
(580) 402-5115
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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