SHONTA JACKSON

TULSA, OK
NPI1497296917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OK  E082524391)
Enumeration Date2017-03-16
Last Update Date2017-03-16
Business Address
SHONTA JACKSON
1217 E 33RD ST
TULSA, OK 74105-2017
Phone number: 918-779-4556
Mailing Address
SHONTA JACKSON
1217 E 33RD ST
TULSA, OK 74105-2017
Phone number: 918-779-4556
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