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QUINTON T BOHANNON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, OK)

QUINTON T BOHANNON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, OK) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: QUINTON T BOHANNON; Type: Individual; NPI: 1003154725.

NameQUINTON T BOHANNON
TypeIndividual
NPI1003154725
Provider typePRACTITIONER - PHYSICIAN ASSISTANT
StateOK
Enrollment IDI20130926000065
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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