Individual
JILL RENEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 S INGALLS RD, STILLWATER, OK 74074-7402
(918) 306-9636
Mailing address
1727 S INGALLS RD, STILLWATER, OK 74074-7402
(918) 306-9636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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