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Individual

JENNIFER DAWN PITMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
105 N 5TH AVE, MADILL, OK 73446-1203
(580) 795-3301
(580) 795-7307
Mailing address
PO BOX 831, MADILL, OK 73446-0831
(580) 795-3301
(580) 795-7307

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3031
OK

Other

Enumeration date
03/24/2008
Last updated
03/24/2008
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