Individual
MR. JAHSEM R. IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
(918) 560-1399
Mailing address
6621 NW DENVER AVE APT B, LAWTON, OK 73505-2855
(580) 284-8158
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2011
Last updated
03/19/2018
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