Individual
JUDY LEE MAGNUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10021 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2927
(405) 692-9300
(405) 691-0062
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8447
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2885
OK
Other
Enumeration date
02/09/2006
Last updated
07/24/2015
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