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Individual

MISS JAMIE JO TARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 421-8440
(918) 421-8750
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 488-6653
(918) 488-6098

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1564
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200161680A
OK
Enumeration date
02/13/2007
Last updated
08/26/2022
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