Individual
DR. DEBORAH JEAN DEJARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10502 N 110TH E AVE, BAILEY MEDICAL CENTER, OWASSO, OK 74055-6655
(918) 376-8971
(918) 376-8549
Mailing address
10502 N 110TH EAST AVE, OWASSO, OK 74055-6655
(918) 376-8971
(918) 376-8549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3370
OK
208M00000X
Hospitalist Physician
Primary
3370
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117960A
—
OK
Enumeration date
07/25/2006
Last updated
05/01/2014
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