NICOLE DEXTER JACKSON

CLAREMORE, OK
NPI1790155042
Former NameNICOLE JEAN DEXTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  614)
Enumeration Date2015-09-29
Last Update Date2015-10-01
Business Address
-- NICOLE DEXTER JACKSON Ota
3001 W BLUE STARR DR
CLAREMORE, OK 74017-2544
Phone number: 918-342-5432
Mailing Address
-- NICOLE DEXTER JACKSON Ota
14930 E 97TH ST N
OWASSO, OK 74055-4814
Phone number: 918-595-0440
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