Individual
JOCELIN CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9212 N KELLEY AVE, OKLAHOMA CITY, OK 73131-2419
(405) 242-5070
(405) 242-5071
Mailing address
2500 SE 39TH ST, MOORE, OK 73160-0613
(405) 640-6451
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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