Jackie Sanders

NPI #1780071639 in Antlers, Oklahoma

Provider Information

NPI Number
1780071639
Entity Type
Individual
Name
Jackie Sanders
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 17, 2015
Last Updated
Apr 17, 2015

Practice Location

Address
107 S HIGH ST
ZIP Code
74523-3818
Phone
(580) 298-2830

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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