Individual
JAIMEE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 E ALMAR DR, CHICKASHA, OK 73018-7327
(405) 222-5437
Mailing address
1802 NW 80TH ST, LAWTON, OK 73505-2371
(210) 716-3965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/12/2023
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