Individual
MRS. CYNTHIA A. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH.
Contact information
Practice address
110 BURR AVE, PAULS VALLEY, OK 73075-3848
(405) 238-7391
(405) 238-1162
Mailing address
3201 N OLDE BRIDGE RD, MOORE, OK 73160-8563
(405) 238-7391
(405) 238-1162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08985
OK
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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