Individual
SADIE JO JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 E COURT ST, ATOKA, OK 74525-2016
(580) 889-6459
Mailing address
263 E COURT ST, ATOKA, OK 74525-2016
(580) 889-6459
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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