JAMIE SHANE MASSENGILL

EDMOND, OK
NPI1952404238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: OK  1320)
Enumeration Date2006-09-05
Last Update Date2020-02-09
Business Address
MR. JAMIE SHANE MASSENGILL PA-C
7555 WINTERWOOD DR
EDMOND, OK 73025-1861
Phone number: 405-990-5967
Mailing Address
MR. JAMIE SHANE MASSENGILL PA-C
7555 WINTERWOOD DR
EDMOND, OK 73025-1861
Phone number: 405-990-5967
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