JACKIE SANDERS

ANTLERS, OK
NPI1780071639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  33940)
Enumeration Date2015-04-17
Last Update Date2015-04-17
Business Address
-- JACKIE SANDERS
107 S HIGH ST
ANTLERS, OK 74523-3818
Phone number: 580-298-2830
Mailing Address
-- JACKIE SANDERS
PO BOX 1030
ANTLERS, OK 74523-1030
Phone number: 580-298-2830
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