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Shatoya Grooms

NPI 1073197158 · on the registry since 2021 · sole proprietor

Practice

Address
9614 E 26th Pl
Tulsa, OK 74129
Phone
(918) 933-0132

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-29

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