Individual
JILLIAN D KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N MAIN ST, SAND SPRINGS, OK 74063-7602
(918) 245-5565
Mailing address
12308 E 27TH ST, TULSA, OK 74129-8208
(918) 438-3452
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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