Individual
MRS. VALORIE JEAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 PARKVIEW DR, EL RENO, OK 73036-2107
(405) 262-2114
(405) 262-2306
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
374
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106580A
—
OK
Enumeration date
05/31/2006
Last updated
05/20/2014
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