Mr. Shelly J Larson

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Shelly J Larson
Gender:	F
Provider License Number If Given:	256

NPI Information:

NPI:	1891902409
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/16/2007
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	2 WICKERSHAM ST Mangum, OK 73554
Phone Number:	5807823337
Fax Number:	5807823337

Provider Business Practice Location Address:

Address:	2 WICKERSHAM ST Mangum, OK 73554
Phone Number:	5807823337
Fax Number:	5807823337

Provider Taxonomy:

Primary:	101YA0400X
Secondary (if any):
State:	OK

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About Mr. Shelly J Larson

Mr. Shelly J Larson (MR. SHELLY J LARSON ) is Definition Counselor Physician in Mangum, OK. The NPI Number for Mr. Shelly J Larson is 1891902409.

The current location address for Mr. Shelly J Larson is 2 WICKERSHAM ST Mangum, OK 73554 and the contact number is 5807823337 and fax number is 5807823337. The mailing address for Mr. Shelly J Larson is 2 WICKERSHAM ST Mangum, OK 73554- 5807823337 (mailing address contact number - 5807823337).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Shelly J Larson ?

Answer: The NPI Number for Mr. Shelly J Larson is 1891902409

Where is Mr. Shelly J Larson located?

Answer: Mr. Shelly J Larson is located at 2 WICKERSHAM ST Mangum, OK 73554.

What is the specialty for Mr. Shelly J Larson ?

Answer: The Specialty of Mr. Shelly J Larson is Definition Counselor Physician.

Are there any online reviews for Mr. Shelly J Larson ?

Answer: Not yet!

Are there any other health care providers in Mangum, OK?

Answer: Yes, there are given below...

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Mr. Shelly J Larson
Addiction (Substance Use Disorder) Counselor
NPI Number: 1891902409
Address: 2 WICKERSHAM ST Mangum, OK 73554 , Phone: 5807823337