Individual
AMANDA JEAN MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 CHILDRENS AVE STE 10A, OKLAHOMA CITY, OK 73104-4637
(405) 271-4412
Mailing address
101 NE 53RD ST APT 2406, OKLAHOMA CITY, OK 73105-1874
(701) 426-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5355
OK
Other
Enumeration date
08/07/2024
Last updated
09/26/2024
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