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1134966054
JIMMIE CAROL HOOPER
TAHLEQUAH, OK
NPI
1134966054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 0053188)
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
JIMMIE CAROL HOOPER
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-525-4883
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Mailing Address
JIMMIE CAROL HOOPER
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-525-4883
Copy
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