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Individual

JENNIFER GALE GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1714 N BROADWAY BLVD, HINTON, OK 73047-9484
(405) 542-6131
(405) 542-3665
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 542-6131
(405) 542-3665

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 873
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100132320A
OK
05
100132320B
OK
05
100132320C
OK
Enumeration date
06/13/2006
Last updated
07/21/2022
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