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Shanon Paxson
NPI 1376740019 · on the registry since 2007 · sole proprietor
Practice
- Address
- 25322 S 603 Rd
Grove, OK 74344 - Phone
- (918) 787-4368
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Also registered as
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma