Individual
CAROL M. JENSEN-FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N 4TH ST, PONCA CITY, OK 74601-4527
Mailing address
513 N PEACHTREE ST, PONCA CITY, OK 74601-3958
(580) 716-4343
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/13/2020
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