Individual
BRIDGET SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30615 N 3950 RD, OCHELATA, OK 74051-2417
(918) 855-2679
Mailing address
30615 N 3950 RD, OCHELATA, OK 74051-2417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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