Individual
MRS. LESLIE GAIL JAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSRS
Contact information
Practice address
502 W RANDOLPH AVE, ENID, OK 73701-3828
(580) 234-8000
Mailing address
502 W RANDOLPH AVE, ENID, OK 73701-3828
(580) 234-8000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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