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Mattison Shepherd

NPI 1871343210 · on the registry since 2024 · sole proprietor

Practice

Address
1705 S Broadway St
Moore, OK 73160
Phone
(405) 300-6028
Organisation at this address
Sams East Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-26

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