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Individual

DR. AMANDA JEAN WINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-1800
Mailing address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-1800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4613
OK

Other

Enumeration date
11/28/2012
Last updated
11/28/2012
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