Individual
JENNIFER LYNN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
128 SOUTH PETERS, NORMAN, OK 73069
(405) 701-8163
Mailing address
128 SOUTH PETERS, NORMAN, OK 73069
(405) 701-8163
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
129078
OK
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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