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1780924860
CHRISTINIA L JACK
SHAWNEE, OK
NPI
1780924860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0059723)
Enumeration Date
2013-02-26
Last Update Date
2021-03-17
Business Address
CHRISTINIA L JACK LPN
2307 GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
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Mailing Address
CHRISTINIA L JACK LPN
2307 GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
Copy
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