Individual
JENNY LYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3011 N HWY 81, DUNCAN, OK 73533-8923
(580) 475-0014
(580) 475-0038
Mailing address
3405 KRISTIN LN, DUNCAN, OK 73533-1801
(580) 736-3388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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