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Sondra Jackson
NPI 1467027391 · on the registry since 2021 · sole proprietor
Practice
- Address
- 11439 E 5th St
Tulsa, OK 74128 - Phone
- (918) 978-2718
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-24
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