CHRISTINIA L JACK

SHAWNEE, OK
NPI1780924860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0059723)
Enumeration Date2013-02-26
Last Update Date2021-03-17
Business Address
CHRISTINIA L JACK LPN
2307 GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
Mailing Address
CHRISTINIA L JACK LPN
2307 GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
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