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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CASSANDRA GENTRY, P.A.

Active

CASSANDRA GENTRY, P.A. is a Physician Assistant healthcare provider located in MOORE, Oklahoma. NPI 1114188232 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MOORE, OK

Registration Details

NPI Number
1114188232
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2008 (18.146517127231 yrs)
Last Updated
Aug 4, 2020
Licenses
1515 (OK)
1515

Practice Information

Address
1105 SW 30TH CT
MOORE, OK, 731602887
Browse OK providers · Browse ZIP 73160
Phone
4053782727
Fax
4053782776
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

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MS. MARCIA JEAN RICKETSON P.A.C. 1720010416
REBECCA R WELLINGTON PA-C 1942218755
MRS. NENETH OAKLEY PHUNG PA-C 1265597553
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.