Individual
BRITTNI JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 E 3RD ST, GROVE, OK 74344-7973
(918) 527-1132
Mailing address
29524 S 585 TRL, GROVE, OK 74344-7943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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