SASA K JACKSON

MOORE, OK
NPI1447521539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  2107)
Enumeration Date2012-01-20
Last Update Date2012-01-20
Business Address
-- SASA K JACKSON PA-C
1400 SE 4TH ST STE H
MOORE, OK 73160-7329
Phone number: 405-799-7400
Mailing Address
-- SASA K JACKSON PA-C
1400 SE 4TH ST STE H
MOORE, OK 73160-7329
Phone number: 405-799-7400