JACKIE DALIZU MWENDWA

BROKEN ARROW, OK
NPI1134896236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  205174)
Enumeration Date2021-08-26
Last Update Date2021-08-26
Business Address
JACKIE DALIZU MWENDWA CNP
1800 W ALBANY DR APT 2026
BROKEN ARROW, OK 74012-5853
Phone number: 918-378-7825
Mailing Address
JACKIE DALIZU MWENDWA CNP
1800 W ALBANY DR APT 2026
BROKEN ARROW, OK 74012-5853
Phone number: 918-378-7825
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