Individual
KRISTA JIMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6835
(405) 605-7743
Mailing address
1330 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6835
(405) 605-7743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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