Individual
JAMIE LONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7966 W 790 RD, HULBERT, OK 74441-2880
(918) 478-3092
Mailing address
7966 W 790 RD, HULBERT, OK 74441-2880
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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