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Individual

TONI JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-1316
Mailing address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-1316

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
706
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363A00000X
OK
Enumeration date
03/10/2008
Last updated
03/10/2008
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