Jackie Ellen Chuculate
Jackie Ellen Chuculate is a Peer Specialist in Vinita, Oklahoma. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
405 E Excelsior AveVinita, OK 74301-4226
Phone: (918) 256-6474
Fax: (918) 256-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1063903029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 25, 2018 |
| Last updated in NPPES | June 16, 2018 |
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