Most Relevant Information
Provider Data
| NPI Number: | 1003315078 |
| Provider Name: | JENNIFER BOER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/06/2018 |
| Last Updated: | 03/06/2018 |
Provider Practice Location
111 W DELAWARE
NOWATA
OK
740482616
Practice Location Phone/Fax
| Phone: | 9182731841 |
| Fax: | 9189990111 |
Provider Mailing Location
111 W DELAWARE
NOWATA
OK
740482616
Provider Mailing Phone/Fax
| Phone: | 9182731841 |
| Fax: |