Individual
AMANDA D PALUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2502
(405) 793-9355
Mailing address
22722 STATE HIGHWAY 74, PURCELL, OK 73080-6953
(405) 802-3905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1625
OK
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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