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Individual

JOZECA OONGWAK MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9228 S MINGO RD STE 101, TULSA, OK 74133-5721
(405) 378-2727
Mailing address
PO BOX 707001, TULSA, OK 74170-7001

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4459
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200967650A
OK
Enumeration date
02/04/2021
Last updated
12/12/2024
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