KENDRICK JACKSON

OKLAHOMA CITY, OK
NPI1679826747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-10-25
Last Update Date2012-10-25
Business Address
-- KENDRICK JACKSON
2501 NE 15TH ST
OKLAHOMA CITY, OK 73117-5224
Phone number: 405-706-4537
Mailing Address
-- KENDRICK JACKSON
2501 NE 15TH ST
OKLAHOMA CITY, OK 73117-5224
Phone number: 405-706-4537