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Individual

ANNA BROOKE VASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1221 ARLINGTON ST STE B, ADA, OK 74820-4067
(580) 436-5111
(580) 436-1159
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(809) 253-2865
(580) 925-9149

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2721
STATE MEDICAL LICENSE
OK
Enumeration date
01/25/2017
Last updated
08/21/2025
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