LACEY KRISTINE JACOBS

OKLAHOMA CITY, OK
NPI1891066445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  APPA2099)
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
-- LACEY KRISTINE JACOBS PA-C
11601 S. WESTERN AVE
OKLAHOMA CITY, OK 73170-5823
Phone number: 405-512-6950
Mailing Address
-- LACEY KRISTINE JACOBS PA-C
524 SW 124TH PL
OKLAHOMA CITY, OK 73170-6039
Phone number:
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