KATINA JACKSON

CLAREMORE, OK
NPI1942063714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  215992)
Enumeration Date2024-02-05
Last Update Date2024-08-06
Business Address
KATINA JACKSON APRN
206 E BLUE STARR DR
CLAREMORE, OK 74017-4223
Phone number: 918-341-8100
Mailing Address
KATINA JACKSON APRN
206 E BLUE STARR DR
CLAREMORE, OK 74017-4223
Phone number: 918-872-8822
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