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Individual

MRS. JESSICA LYNN HASSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 N OKLAHOMA AVE, OKLAHOMA CITY, OK 73105-2724
(405) 528-8686
Mailing address
2445 NE 10TH ST APT 2, OKLAHOMA CITY, OK 73117-5047

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
09/01/2017
Last updated
09/01/2017
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