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Angela Jackson
NPI 1962877985 · on the registry since 2015 · sole proprietor
Practice
- Address
- 551 N 28th West Ave
Tulsa, OK 74127 - Phone
- (918) 794-0197
- Fax
- (918) 794-0196
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2015-12-02
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