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Individual

GARY P FREELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA426
OK

Other

Enumeration date
01/10/2006
Last updated
09/14/2016
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