Individual
AUGUSTA PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
Mailing address
3301 N ROBIN ST, MCALESTER, OK 74501-2053
(918) 916-7705
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
11/27/2023
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