Individual
CASSANDRA GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727
(405) 378-2776
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 378-2727
(405) 378-2776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1515
—
363AM0700X
Medical Physician Assistant
1515
OK
Other
Enumeration date
06/20/2008
Last updated
08/04/2020
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