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1659642163
ELIZABETH MONTGOMERY
EDMOND, OK
NPI
1659642163
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Former Name
ELIZABETH BODINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 2082)
Enumeration Date
2012-01-16
Last Update Date
2022-07-21
Business Address
-- ELIZABETH MONTGOMERY P.A
4509 INTEGRIS PKWY STE 200
EDMOND, OK 73034-8696
Phone number: 405-657-3950
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Mailing Address
-- ELIZABETH MONTGOMERY P.A
5300 N INDEPENDENCE AVE SUITE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 405-657-3950
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