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Individual

REBECCA G PRIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
7050 AIR DEPOT, BLDG 1094, TINKER AFB, OK 73145-8102
(405) 582-6610
(405) 736-3619
Mailing address
7050 AIR DEPOT, BLDG 1094, APO, AA 73145-8102
(405) 582-6610
(405) 736-3619

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1690
OK

Other

Enumeration date
01/18/2008
Last updated
12/05/2022
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