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Individual

ANDREA RAE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2100 W IOWA AVE STE A, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 574-1406
Mailing address
2100 W IOWA AVE, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 779-2301

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1487
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200080720A
OK
Enumeration date
05/05/2006
Last updated
02/13/2026
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