Individual
AUBURN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N SEMINOLE AVE, CLAREMORE, OK 74017-8402
(918) 923-6444
Mailing address
10745 E MAPLE AVE, CLAREMORE, OK 74019-0354
(918) 277-7887
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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