Lacie Jae Boles

NPI #1831990381 in Shawnee, Oklahoma

Provider Information

NPI Number
1831990381
Entity Type
Individual
Name
Lacie Jae Boles
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Mar 21, 2025
Last Updated
Mar 21, 2025

Practice Location

Address
2307 GORDON COOPER DR
ZIP Code
74801-9007
Phone
(405) 214-5111

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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