Individual
CHINOISE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST, MSAOM
Contact information
Practice address
6622 S CEDAR AVE, BROKEN ARROW, OK 74011-4178
(918) 694-2351
Mailing address
6622 S CEDAR AVE, BROKEN ARROW, OK 74011-4178
(918) 694-2351
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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