Individual
BRITTANY DYAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W MAIN ST, DURANT, OK 74701-5038
(580) 924-7330
Mailing address
1001 W MAIN ST, DURANT, OK 74701-5038
(580) 924-7330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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