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Contact Information

ZONDRA MAGNESS
RT.1 BOX 35D
BOLEY, OK74829
 Phone: 918-667-3367
 Fax: 918-667-3651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for ZONDRA MAGNESS · (Female)

NPI # 1245689934
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2016
Last updated 06/03/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OK Medicaid 100685600D
  • OK Medicaid 1006856600A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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