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1821482811
STEPHANIE JANE GARRETT
PORTER, OK
NPI
1821482811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2481)
Enumeration Date
2015-03-27
Last Update Date
2015-06-25
Business Address
-- STEPHANIE JANE GARRETT PA-C
505 S MAIN ST
PORTER, OK 74454-1015
Phone number: 918-483-0111
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Mailing Address
-- STEPHANIE JANE GARRETT PA-C
505 S MAIN ST
PORTER, OK 74454-1015
Phone number: 918-483-0111
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