ADRIENNE JACOBS

ADA, OK
NPI1679608186
Former NameADRIENNE FERGUSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1427)
Enumeration Date2007-02-23
Last Update Date2015-07-01
Business Address
-- ADRIENNE JACOBS
1921 STONECIPHER BLVD
ADA, OK 74820
Phone number: 580-421-4570
Mailing Address
-- ADRIENNE JACOBS
1921 STONECIPHER BLVD
ADA, OK 74820
Phone number: 580-421-4570
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