Individual
MS. NANCY JEAN KIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 OAK, JENNINGS, OK 74038
(918) 935-9934
Mailing address
P.O.BOZ321, JENNINGS, OK 74038
(918) 935-9934
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
324500000X
OK
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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