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1346882032
JAQUETTA JARAE ROBERSON
ARDMORE, OK
NPI
1346882032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OK 110221)
Enumeration Date
2019-10-14
Last Update Date
2020-11-13
Business Address
JAQUETTA JARAE ROBERSON APRN-CNP
20 12TH AVE NW
ARDMORE, OK 73401-5722
Phone number: 580-223-3411
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Mailing Address
JAQUETTA JARAE ROBERSON APRN-CNP
20 12TH AVE NW
ARDMORE, OK 73401-5722
Phone number: 580-223-3411
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