QUINTON TY BOHANNON

COALGATE, OK
NPI1003154725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  2239)
Enumeration Date2013-01-30
Last Update Date2013-01-30
Business Address
-- QUINTON TY BOHANNON P.A.-C
108 W OHIO AVE
COALGATE, OK 74538-2827
Phone number: 580-927-2334
Mailing Address
-- QUINTON TY BOHANNON P.A.-C
108 W OHIO AVE
COALGATE, OK 74538-2827
Phone number: 580-927-2334
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