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1154854636
LISA JACQUES
TULSA, OK
NPI
1154854636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- LISA JACQUES Rss
16715 E NEWTON ST
TULSA, OK 74116-4440
Phone number: 918-855-5976
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Mailing Address
-- LISA JACQUES Rss
16715 E NEWTON ST
TULSA, OK 74116-4440
Phone number: 918-855-5976
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