Individual
JANA L DAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10701 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-4537
(405) 470-1500
(405) 603-8109
Mailing address
10701 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-4537
(405) 470-1500
(405) 603-8109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2189
OK
Other
Enumeration date
01/05/2013
Last updated
01/05/2013
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