Individual
JAIME ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 E ALMAR DR, CHICKASHA, OK 73018-7327
(405) 222-5437
(405) 222-5441
Mailing address
105 W VIRGINIA AVE, ANADARKO, OK 73005-4042
(405) 402-0122
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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