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Individual

CAROL M JANKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4045 NW 64TH ST, SUITE 520, OKLAHOMA CITY, OK 73116-1684
(405) 842-4911
Mailing address
4045 NW 64TH ST, SUITE 520, OKLAHOMA CITY, OK 73116-1684
(405) 842-4911

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3040
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00355145
RAILROAD MEDICARE
OK
Enumeration date
10/17/2006
Last updated
01/03/2008
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