JACKIE LATHAM

ELK CITY, OK
NPI1588345946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0056982)
Enumeration Date2023-07-28
Last Update Date2023-07-28
Business Address
JACKIE LATHAM
3080 W 3RD ST
ELK CITY, OK 73644-4323
Phone number: 405-424-7711
Mailing Address
JACKIE LATHAM
PO BOX 252
CARTER, OK 73627-0252
Phone number:
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