Individual
BAILEY JO JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N OKLAHOMA AVE APT 504, OKLAHOMA CITY, OK 73104-1848
(405) 613-6622
Mailing address
321 N OKLAHOMA AVE APT 504, OKLAHOMA CITY, OK 73104-1848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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