JACKIE SUE TARR

PONCA CITY, OK
NPI1003062423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0018866)
Enumeration Date2008-08-18
Last Update Date2008-08-18
Business Address
-- JACKIE SUE TARR LPN
1417 MCGRAW DR
PONCA CITY, OK 74601-2948
Phone number: 580-765-1926
Mailing Address
-- JACKIE SUE TARR LPN
1417 MCGRAW DR
PONCA CITY, OK 74601-2948
Phone number: 580-765-1926
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