Individual
JENNIFER KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-4311
(405) 271-1009
Mailing address
6804 LIBERTY TRAILS BLVD, OKLAHOMA CITY, OK 73135-1904
(469) 335-3201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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