Individual
KE'JAUNDE SHOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(539) 240-7734
Mailing address
6128 E 38TH ST, TULSA, OK 74135-5832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
214577
OK
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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