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Individual

MRS. STEPHANIE ANN BARLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Mailing address
19901 MALONE RD, TECUMSEH, OK 74873-7213
(405) 642-6722

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0044278
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L0044278
LPN
OK
Enumeration date
09/16/2006
Last updated
07/08/2007
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