JAMIE HORACEK

LAWTON, OK
NPI1013453935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OK  2779)
Enumeration Date2017-01-17
Last Update Date2017-01-17
Business Address
-- JAMIE HORACEK
29 KETCH CREEK CIR
LAWTON, OK 73507-9030
Phone number: 580-442-3905
Mailing Address
-- JAMIE HORACEK
BLDG. 652 HAMILTON RD USA DENTAL ACTIVITY
FT. SILL, OK 73503
Phone number: