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Individual

MRS. MARJORIE MARY SCHLECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 222-5359
Mailing address
PO BOX 1069, CHICKASHA, OK 73023-1069
(405) 224-8111
(405) 222-5359

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1073
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073
LICENSE NUMBER
01
28924
BNDD
OK
Enumeration date
01/12/2007
Last updated
08/09/2007
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