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ALEXANDRIA MARIE ERVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
301 S MUSTANG RD, YUKON, OK 73099-6704
(405) 324-1911
Mailing address
19453 VISTA AVE, EDMOND, OK 73012-3528
(918) 955-0834
(405) 749-1671

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2940
OK

Other

Enumeration date
06/11/2018
Last updated
07/03/2024
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