LISHA SUSAN JACOB

OKLAHOMA CITY, OK
NPI1992549232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  0734R)
Enumeration Date2024-06-21
Last Update Date2024-06-21
Business Address
Dr. LISHA SUSAN JACOB DO
900 NE 10TH ST
OKLAHOMA CITY, OK 73104-5420
Phone number: 405-271-9995
Mailing Address
Dr. LISHA SUSAN JACOB DO
6745 NW 125TH CT
OKLAHOMA CITY, OK 73142-5193
Phone number: 214-714-4813
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