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Individual
JESSICA RUTH PHILPOTT
Active
Individual
JESSICA RUTH PHILPOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25308
OK
207R00000X
Internal Medicine Physician
35082649
OH
207RG0100X
Gastroenterology Physician
Primary
25308
OK
Other
Enumeration date
09/16/2006
Last updated
08/21/2013
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