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Jade Box, BHRS

NPI 1245668110 · on the registry since 2013 · sole proprietor

Practice

Address
1140 Indigo Rd
Broken Bow, OK 74728
Phone
(580) 236-5335

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma