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Daniel Jackson
Student in an Organized Health Care Education/Training Program in Moore, Oklahoma
NPI 1972221513

Daniel Jackson is a Student in an Organized Health Care Education/Training Program based in Moore, OK. Daniel Jackson practices in Moore, OK. The NPI Number for Daniel Jackson is 1972221513 and holds a License No. (Oklahoma).

The current practice location address for Daniel Jackson is 2421 W Park Pl, Moore, OK and can be reached out via phone at 405-822-0228.

Location: 2421 W Park Pl, Moore, OK, 73160-8952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972221513
Provider Name
Daniel Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2421 W Park Pl, Moore, OK, 73160-8952
Phone Number
405-822-0228
Fax Number
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2421 W Park Pl
City
Moore
State
Oklahoma
Zip
73160-8952
Phone Number
405-822-0228
Fax Number
person
Provider Business Mailing Address Details
Address
2421 W Park Pl
City
Moore
State
Oklahoma
Zip
73160-8952
Phone Number
405-822-0228
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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