Individual
MR. JASON LYN COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,L.A.T., A.T.C.
Contact information
Practice address
6729 NW 39TH EXPY, BETHANY, OK 73008-2605
(405) 789-6400
Mailing address
7425 NW 103RD ST, OKLAHOMA CITY, OK 73162-4407
(620) 518-1649
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
895
OK
Other
Enumeration date
03/15/2016
Last updated
06/07/2016
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