Individual
JESSIE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S ASH ST, NOWATA, OK 74048-4628
(844) 458-2100
Mailing address
325 S ASH ST, NOWATA, OK 74048-4628
(918) 772-0373
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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