Individual
DR. JACQUELYN MARIE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 E 41ST ST, SUITE 2H23, TULSA, OK 74135-2553
(918) 660-3577
Mailing address
5396 E 81ST ST APT 634, TULSA, OK 74137-2261
(918) 660-3577
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
13907
OK
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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