LACIE JAI ANDERSON

OKLAHOMA CITY, OK
NPI1629547948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  60670)
Enumeration Date2018-11-15
Last Update Date2018-11-15
Business Address
LACIE JAI ANDERSON LPN
6721 NW 124TH TER
OKLAHOMA CITY, OK 73142-3124
Phone number: 405-201-0322
Mailing Address
LACIE JAI ANDERSON LPN
6721 NW 124TH TER
OKLAHOMA CITY, OK 73142-3124
Phone number: 405-201-0322
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