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Individual

PRISCILLA ANGEL JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10019 S MEMORIAL DR, TULSA, OK 74133-6103
(918) 615-5001
Mailing address
10019 S MEMORIAL DR, TULSA, OK 74133-6103
(818) 429-3086

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18846
OK

Other

Enumeration date
12/01/2020
Last updated
07/03/2023
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