Individual
JANA HAGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 S ZUNIS AVE, TULSA, OK 74104-2214
(918) 232-8718
Mailing address
PO BOX 702, SAND SPRINGS, OK 74063-0702
(918) 232-8718
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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