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Individual

GINA NICOLE MALONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.H.S., P.A.-C.

Contact information

Practice address
825 NE 10TH ST, SUITE 4200, OKLAHOMA CITY, OK 73104-5417
(405) 271-1368
Mailing address
PO BOX 26901, WP 1290, OKLAHOMA CITY, OK 73126-0901

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2581
OK

Other

Enumeration date
12/21/2015
Last updated
12/21/2015
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