KIMETHRIA LAURIE JACKSON

ADA, OK
NPI1962441170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  R0046831)
Enumeration Date2006-06-05
Last Update Date2007-07-09
Business Address
-- KIMETHRIA LAURIE JACKSON MSN, ARNP
1201 ARLINGTON ST SUITE B
ADA, OK 74820-4072
Phone number: 580-436-1526
Mailing Address
-- KIMETHRIA LAURIE JACKSON MSN, ARNP
1201 ARLINGTON ST SUITE B
ADA, OK 74820-4072
Phone number: 580-436-1526
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