JOHNNA PACKER

CLAREMORE, OK
NPI1073848065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  PA1854)
Enumeration Date2009-10-08
Last Update Date2012-01-11
Business Address
-- JOHNNA PACKER PA
17599 S HIGHWAY 88 STABILIZATION CENTER
CLAREMORE, OK 74018-0801
Phone number: 918-273-1841
Mailing Address
-- JOHNNA PACKER PA
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone number: 918-273-1841
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