Individual
MS. JACQUELINE LAVON BOECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 E 5TH ST, CUSHING, OK 74023-4503
(918) 225-0031
Mailing address
1031 E 5TH ST, CUSHING, OK 74023-4503
(918) 225-0031
Taxonomy
Speciality
Code
Description
License number
State
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
Primary
1800
OK
Other
Enumeration date
08/03/2008
Last updated
08/03/2008
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