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Individual

JESSICA JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1061 N SERVICE RD, CALERA, OK 74730-1806
(580) 434-5727
Mailing address
307 N 1ST ST, CALERA, OK 74730-1723
(580) 768-1483

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
214509
OK

Other

Enumeration date
12/28/2024
Last updated
12/28/2024
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