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Individual

JACI RANEA HODGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1501 MAIN ST, WOODWARD, OK 73801-3043
(580) 254-5316
(580) 256-6508
Mailing address
1501 MAIN ST, WOODWARD, OK 73801-3043
(580) 254-5316
(580) 256-6508

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3097
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/04/2019
Last updated
02/10/2021
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