Individual
MR. JACK T STANSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 307-4800
Mailing address
900 E MAIN, NORMAN, OK 73069
(405) 307-4800
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R0075432
OK
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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