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Individual

DR. SHANE LEE CLABORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4250 NW CACHE RD, LAWTON, OK 73505-3606
(580) 248-0061
(580) 248-0074
Mailing address
4250 NW CACHE RD, LAWTON, OK 73505-3606
(580) 248-0061
(580) 248-0074

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2552
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200208350A
OK
Enumeration date
07/28/2008
Last updated
12/04/2015
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