Individual
MRS. JENNIFER JUANITA GAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 CHILDRENS AVE, SUITE 9500, OKLAHOMA CITY, OK 73104-4637
(405) 271-6549
(405) 271-7866
Mailing address
1200 CHILDRENS AVE, SUITE 9500, OKLAHOMA CITY, OK 73104-4637
(405) 271-6549
(405) 271-7866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
APA2220
OK
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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