NPI 1144509118

Shetina Bunn

Practitioner Contractor Oklahoma City, OK

Practice location

Address: 11321 N Florida Ave, Oklahoma City, OK 73120-7931
Phone: (405) 637-3131

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 004714024 (OK)

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Registry record

NPI: 1144509118
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2011
Record last updated: 9 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.