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Genie Jackson
NPI 1770772444 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1222 10th St Ste 211
Woodward, OK 73801 - Phone
- (580) 256-8615
- Fax
- (580) 256-8609
- Organisation at this address
- State Of Oklahoma
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 106
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2007-10-18
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