BETHANY GALE WAGENER

OKLAHOMA CITY, OK
NPI1063711190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  APA2006)
Enumeration Date2011-03-15
Last Update Date2011-03-15
Business Address
-- BETHANY GALE WAGENER PA-C
2901 N CLASSEN BLVD SUITE 200
OKLAHOMA CITY, OK 73106-5493
Phone number: 918-594-1300
Mailing Address
-- BETHANY GALE WAGENER PA-C
9014 W ROGERS BLVD
SKIATOOK, OK 74070-5528
Phone number: 405-408-3547
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