JORDAN MEDLOCK

ALTUS, OK
NPI1407398795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  1793)
Enumeration Date2016-11-17
Last Update Date2016-11-17
Business Address
Mrs. JORDAN MEDLOCK COTA/L
1200 E PECAN ST
ALTUS, OK 73521-6141
Phone number: 580-379-5000
Mailing Address
Mrs. JORDAN MEDLOCK COTA/L
809 ROSEHAVEN DR
ALTUS, OK 73521-4923
Phone number: 580-471-8292
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