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1639169337
JACKIE J PARNELL
COWETA, OK
NPI
1639169337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: OK 552)
Enumeration Date
2005-10-24
Last Update Date
2012-09-19
Business Address
JACKIE J PARNELL PA
607 S BROADWAY
COWETA, OK 74429-5000
Phone number: 918-486-5564
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Mailing Address
JACKIE J PARNELL PA
15187 W GRANDVIEW RD
TAHLEQUAH, OK 74464-1118
Phone number: 918-316-2200
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