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Individual

ALLYSON PAIGE KRAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1801 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-3446
(405) 528-1936
(405) 521-8260
Mailing address
1801 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-3446
(405) 528-1936
(405) 521-8260

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1267
OK

Other

Enumeration date
11/23/2009
Last updated
11/23/2009
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