Individual
MR. JORDAN PAUL PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
Mailing address
1002 W WASHINGTON CIR, TECUMSEH, OK 74873-2614
(405) 380-8446
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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