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1104997436
JEFFERY ALLEN BARENTINE
COWETA, OK
NPI
1104997436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1567)
Enumeration Date
2006-11-10
Last Update Date
2010-01-06
Business Address
-- JEFFERY ALLEN BARENTINE PA-C
28622 E 141ST ST S
COWETA, OK 74429-7515
Phone number: 918-486-7425
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Mailing Address
-- JEFFERY ALLEN BARENTINE PA-C
28622 E 141ST ST S PO BOX 1030
COWETA, OK 74429-7515
Phone number: 918-486-7425
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