Individual
JEANET OLEAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 HALLOW OAK CT, MIDWEST CITY, OK 73130-5318
(302) 507-6839
Mailing address
812 HALLOW OAK CT, MIDWEST CITY, OK 73130-5318
(302) 507-6839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/31/2021
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