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Individual
MS. MINDY ALEENE SARGENT
Active
Individual
MS. MINDY ALEENE SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2149
OK
363AM0700X
Medical Physician Assistant
2149
OK
363AS0400X
Surgical Physician Assistant
2149
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200447890A
—
OK
Enumeration date
08/08/2012
Last updated
09/11/2018
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