KATINA JACKSON

BROKEN ARROW, OK
NPI1942063714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  215992)
Enumeration Date2024-02-05
Last Update Date2024-03-23
Business Address
KATINA JACKSON APRN
421 STONE WOOD DR
BROKEN ARROW, OK 74012-1026
Phone number: 918-872-8822
Mailing Address
KATINA JACKSON APRN
421 STONE WOOD DR
BROKEN ARROW, OK 74012-1026
Phone number: 918-872-8822