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Individual

JAY VINNEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
608 NW 9TH ST STE 1100, OKLAHOMA CITY, OK 73102-1015
(405) 231-3000
(405) 231-3073
Mailing address
608 NW 9TH ST STE 1100, OKLAHOMA CITY, OK 73102-1015
(405) 231-3000
(405) 231-3073

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34990
OK

Other

Enumeration date
05/06/2019
Last updated
04/12/2022
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