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1265492417
INGRID WORRELL JACKSON
OKLAHOMA CITY, OK
NPI
1265492417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 15786)
Enumeration Date
2006-03-23
Last Update Date
2012-02-23
Business Address
Mrs. INGRID WORRELL JACKSON MD
5720 W MEMORIAL RD
OKLAHOMA CITY, OK 73142-2010
Phone number: 405-470-4700
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Mailing Address
Mrs. INGRID WORRELL JACKSON MD
5720 W MEMORIAL RD
OKLAHOMA CITY, OK 73142-2010
Phone number: 405-470-4700
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