JACKSON DAVIS PHELPS

SHAWNEE, OK
NPI1336954569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  219424)
Enumeration Date2025-02-13
Last Update Date2025-02-13
Business Address
Mr. JACKSON DAVIS PHELPS LPN
781 GRAND CASINO BLVD
SHAWNEE, OK 74804-1005
Phone number: 405-964-5770
Mailing Address
Mr. JACKSON DAVIS PHELPS LPN
781 GRAND CASINO BLVD
SHAWNEE, OK 74804-1005
Phone number: 405-964-5770
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