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Raymond Jackson
NPI 1710206032 · on the registry since 2010
Practice
- Address
- 2502 Crossroads Dr
Ardmore, OK 73401 - Phone
- (580) 226-4800
- Organisation at this address
- Southern Oklahoma Treatment Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-05-26
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