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Individual

WALKER DEAN WHITWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17010 COUNTY ROAD 1490, ADA, OK 74820-4734
(580) 665-0276
Mailing address
17010 COUNTY ROAD 1490, ADA, OK 74820-4734
(580) 665-0276

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OK

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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