JACLYN NICHOLE PURNELL

TAHLEQUAH, OK
NPI1194459362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies251B00000X Case Management
Enumeration Date2022-07-13
Last Update Date2022-07-25
Business Address
JACLYN NICHOLE PURNELL
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3820
Phone number: 918-708-2015
Mailing Address
JACLYN NICHOLE PURNELL
909 LINN AVE
WAGONER, OK 74467-2132
Phone number: 405-220-7173