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Individual

JESSICA GAMBILL PUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
825 NE 10TH ST # 5D, OKLAHOMA CITY, OK 73104-5417
(405) 271-9493
(405) 271-4606
Mailing address
825 NE 10TH ST # 5D, OKLAHOMA CITY, OK 73104-5417
(405) 271-9493
(405) 271-4606

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2016018406
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
39481
OK
207VG0400X
Gynecology Physician
60525
TN

Other

Enumeration date
06/10/2016
Last updated
07/03/2023
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