Individual
MRS. JESA LEIGH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E WILSON ST, TISHOMINGO, OK 73460-2200
(580) 371-3019
(580) 371-0139
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 319-7305
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
10/24/2025
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