Individual
JAMIE D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S WILSON ST, POTEAU, OK 74953-4917
(918) 839-4199
Mailing address
37163 MARTIN RD, WISTER, OK 74966-2701
(918) 839-4199
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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