Individual
JORDYN JANAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
668 BREEZY HILL RD, EDMOND, OK 73025-5809
(580) 554-7515
Mailing address
668 BREEZY HILL RD, EDMOND, OK 73025-5809
(580) 554-7515
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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