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1679346894
LATASHA JACKSON
TULSA, OK
NPI
1679346894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK R0111570)
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
LATASHA JACKSON RN
5330 E 31ST ST
TULSA, OK 74135-5076
Phone number: 918-600-3100
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Mailing Address
LATASHA JACKSON RN
5330 E 31ST ST
TULSA, OK 74135-5076
Phone number: 918-600-3100
Copy
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