Individual
MRS. JENNIE ELIZABETH HOGAN-HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9219 N 178TH EAST AVE, OWASSO, OK 74055-8000
(918) 565-0053
Mailing address
9219 N 178TH EAST AVE, OWASSO, OK 74055-8000
(918) 565-0053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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