Shane Micheal Hardemon

NPI # 

Practice Address:

444 E College Ave

Blackwell, OK, 74631-3319

Practice Phone:

580-401-7527

License State:

OK

Taxonomy Grouping:

Other Service Providers

Taxonomy Classification:

Peer Specialist

Taxonomy Code:

175T00000X

Updated by NPPES on 10/2/2024. You can view the original data set for NPI # 1003634478 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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