MICHALLA JACKSON

SAND SPRINGS, OK
NPI1174279061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
MICHALLA JACKSON
602 COLONY DR
SAND SPRINGS, OK 74063-7428
Phone number: 417-818-4821
Mailing Address
MICHALLA JACKSON
PO BOX 1588
SAND SPRINGS, OK 74063-1588
Phone number: 417-818-4821