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1720010416
MARCIA JEAN RICKETSON
MOORE, OK
NPI
1720010416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 710)
Enumeration Date
2006-07-06
Last Update Date
2009-06-17
Business Address
Ms. MARCIA JEAN RICKETSON P.A.C.
216 NE 12TH ST
MOORE, OK 73160-5830
Phone number: 405-794-2530
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Mailing Address
Ms. MARCIA JEAN RICKETSON P.A.C.
2829 CHAUCER DR
OKLAHOMA CITY, OK 73120-2804
Phone number: 405-496-8059
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