Individual
JAYCI CAROL JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5419 ROADRUNNER DR, DURANT, OK 74701-2452
(580) 271-0521
(580) 298-3397
Mailing address
5419 ROADRUNNER DR, DURANT, OK 74701-2452
(580) 271-0521
(580) 298-3397
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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