Individual
MAGGIE KUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S ADAMS ST, JENKS, OK 74037-2573
(918) 409-0157
(918) 209-4788
Mailing address
240 S ADAMS ST, JENKS, OK 74037-2573
(918) 409-0157
(918) 209-4788
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CF639
OK
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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