Individual
VICKI E JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 NE 10TH ST, OUPB1300, OKLAHOMA CITY, OK 73104-5417
(405) 271-6667
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
07/03/2008
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