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Individual

MRS. JACQUELINE SUE ROLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CP-N

Contact information

Practice address
117 N. BROADWAY, BROKEN BOW, OK 74728-5304
(580) 236-4314
Mailing address
3310 LAMAR AVE, PARIS, TX 75460-5024
(903) 905-4810

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0041400
OK

Other

Enumeration date
07/23/2012
Last updated
02/23/2015
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