Individual
JACI PEOPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 W BROADWAY ST STE 2C, ARDMORE, OK 73401-2560
(580) 448-2626
Mailing address
PO BOX 371, MANNSVILLE, OK 73447-0371
(580) 371-1046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF439
OK
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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