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1518525849
JAYME KENNA MONTGOMERY
BROKEN ARROW, OK
NPI
1518525849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 113779)
Enumeration Date
2019-06-01
Last Update Date
2019-06-01
Business Address
JAYME KENNA MONTGOMERY CNP
705 W OAKLAND ST
BROKEN ARROW, OK 74012-1656
Phone number: 918-251-2666
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Mailing Address
JAYME KENNA MONTGOMERY CNP
8505 E 132ND ST S
BIXBY, OK 74008-3306
Phone number:
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