Individual
JULYE MARIE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3224 SW 119TH ST, OKLAHOMA CITY, OK 73170-4548
(405) 759-3880
(405) 759-3882
Mailing address
3224 SW 119TH ST, OKLAHOMA CITY, OK 73170-4548
(405) 759-3880
(405) 759-3882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1139
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200205560A
—
OK
Enumeration date
08/30/2006
Last updated
01/29/2014
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