Jeanette King

NPI #1477207330 in Catoosa, Oklahoma

Provider Information

NPI Number: 1477207330
Entity Type: Individual
Name: Jeanette King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 19302 E ADMIRAL PL STE B
City: Catoosa
State: Oklahoma
ZIP Code: 74015-3207
Phone: (918) 340-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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