JESSICA LYNN JACKSON

PONCA CITY, OK
NPI1588369383
Other NameJESSICA L GODDARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  1470)
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
JESSICA LYNN JACKSON COTA
400 E CENTRAL AVE
PONCA CITY, OK 74601-5429
Phone number: 580-304-9767
Mailing Address
JESSICA LYNN JACKSON COTA
2509 BLUESTEM RD
PONCA CITY, OK 74604-3246
Phone number: 580-352-4998
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