TERA JACKSON

EDMOND, OK
NPI1699045104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2012-01-01
Last Update Date2024-08-07
Business Address
Mrs. TERA JACKSON
3109 STONE HILL TRL
EDMOND, OK 73034-6180
Phone number: 405-812-4692
Mailing Address
Mrs. TERA JACKSON
1512 PATRICIA DR
MIDWEST CITY, OK 73130-1637
Phone number: 405-812-4692
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