Individual
JAKE HAVELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
939 N 4405, SALINA, OK 74365-2439
(918) 530-9262
Mailing address
939 N 4405, SALINA, OK 74365-2439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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