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Individual

MRS. JEANNIE M MCCANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
826 E BROADWAY, MUSKOGEE, OK 74403
(918) 687-1634
(918) 398-4408
Mailing address
826 E BROADWAY, MUSKOGEE, OK 74403
(918) 687-1634
(918) 398-4408

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16881
OK

Other

Enumeration date
10/02/2006
Last updated
10/31/2007
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