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Individual

DANIELLE WHEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
908 N ROCKFORD RD STE G, ARDMORE, OK 73401-2541
(580) 490-9411
Mailing address
908 N ROCKFORD RD, STE G, ARDMORE, OK 73401-2541
(580) 490-9411
(580) 490-9415

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2728
OK

Other

Enumeration date
01/17/2017
Last updated
05/09/2017
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