Individual
MS. JESSICA PAIGE TENEQUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3327 N COAL CREEK RD, ATOKA, OK 74525-5719
(918) 429-4743
Mailing address
3327 N COAL CREEK RD, ATOKA, OK 74525-5719
(918) 429-4743
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
09/08/2021
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