Individual
JAMIE PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N RANCHWOOD BLVD, YUKON, OK 73099-2033
(405) 423-8130
Mailing address
205 N RANCHWOOD BLVD, YUKON, OK 73099-2033
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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