Individual
JAMEERAH SHERELL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SUCCESS DRIVE, LANGSTON, OK 73050-2001
(405) 371-0792
Mailing address
PO BOX 2000, LANGSTON, OK 73050-2001
(405) 371-0792
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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