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1982640116
JASON SQUIRES
DURANT, OK
NPI
1982640116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02526)
Enumeration Date
2006-06-22
Last Update Date
2018-03-17
Business Address
JASON SQUIRES PA
698 WESTSIDE DR STE 110
DURANT, OK 74701-3085
Phone number:
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Mailing Address
JASON SQUIRES PA
5012 US HWY 75, SUITE 300 ATTN BILLING
DENISON, TX 75020-4589
Phone number: 580-920-1922
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