Individual
JANA REBECCA MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
467055 E 1120 RD, GANS, OK 74936-5016
(918) 776-7407
Mailing address
PO BOX 333, GANS, OK 74936-0333
(918) 776-7407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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