Individual
JAMIE SHULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N MAIN ST, KINGFISHER, OK 73750-2730
(405) 424-7711
Mailing address
809 CLARK DR, KINGFISHER, OK 73750-3814
(580) 799-1265
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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