Individual
AMY YVONNE PASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 S TELEPHONE RD, MOORE, OK 73160-2968
(405) 237-7500
Mailing address
2512 O J TALLEY CIR, NORMAN, OK 73072-6619
(405) 620-0642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4855
OK
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/24/2022
Last updated
01/16/2023
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