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1780348623
JESSICA ELLEN MEDINA
SAPULPA, OK
NPI
1780348623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-27
Last Update Date
2024-09-13
Business Address
JESSICA ELLEN MEDINA
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-900-2902
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Mailing Address
JESSICA ELLEN MEDINA
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-900-2902
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