Individual
JASON LAEL STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
Mailing address
14324 S HARVARD PL, BIXBY, OK 74008-7625
(539) 777-6960
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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