Individual
MELISSA M JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13071 S 572 RD, MIAMI, OK 74354-5215
(918) 961-0897
Mailing address
13071 S 572 RD, MIAMI, OK 74354-5215
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0078192
OK
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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