KIMBERLEY JO JAQUES

ENID, OK
NPI1568050045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  11822)
Additional Taxonomies183500000X Pharmacist
(Licence: AR  PD14441)
183500000X Pharmacist
(Licence: MO  43128)
Enumeration Date2021-01-09
Last Update Date2021-01-09
Business Address
KIMBERLEY JO JAQUES Pharmacist
929 W OWEN K GARRIOTT RD
ENID, OK 73701-5439
Phone number: 580-237-3151
Mailing Address
KIMBERLEY JO JAQUES Pharmacist
10011 N POTTAWATOMIE RD
HARRAH, OK 73045-9038
Phone number: 405-831-6480