Individual
GRACE ELIZABETH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 US 81, DUNCAN, OK 73533
(580) 536-9355
Mailing address
1120 US 81, DUNCAN, OK 73533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2951
OK
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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