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Shelly Raelyn Whitley

NPI Registration Record

Provider / OrganizationNPIDate Certified
SHELLY RAELYN WHITLEY14175593112020-11-15
Entity TypeIndividual
Provider NameDr. Shelly Raelyn Whitley PHARMD
Practice Office Address1225 W I 35 FRONTAGE RD
EDMOND, OK US
Practice Office Telephone4053483677
Practice Office Fax4053407458
Mailing Address15012 MONTICELLO DR
OKLAHOMA CITY, OK 731341836 US
Business Telephone4054816180
HPT Codes
CodeLicense NoState
183500000X PRIMARY13796 OK
OPI Codes

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