Individual
JANICE MARIE JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 VINEYARD BLVD, SUITE E, OKLAHOMA CITY, OK 73120-3829
(405) 848-5620
(405) 848-5619
Mailing address
6633 LAUREL DR, OKLAHOMA CITY, OK 73162-6743
(405) 470-1211
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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