SHANNON MICHELLE JACOBY

TULSA, OK
NPI1790081727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  1998)
Enumeration Date2011-02-09
Last Update Date2011-11-30
Business Address
-- SHANNON MICHELLE JACOBY PA-C
6151 S YALE AVE SUITE 1305
TULSA, OK 74136-1907
Phone number: 918-494-9450
Mailing Address
-- SHANNON MICHELLE JACOBY PA-C
6600 S YALE AVE SUITE 1400
TULSA, OK 74136-3347
Phone number: 918-488-6001
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