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Individual

JOVONNE K SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3433 NW 56TH ST, STE 800, OKLAHOMA CITY, OK 73112-4455
(405) 946-9831
(405) 947-0408
Mailing address
3433 NW 56TH ST, STE 400, OKLAHOMA CITY, OK 73112-4455
(405) 946-9831
(405) 947-0408

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1731
OK

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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