Individual
JIMMY RAY PERKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 CHANDLER RD STE 109, MUSKOGEE, OK 74403-4909
(918) 686-6876
(918) 686-6826
Mailing address
2505 MONTA PL, MUSKOGEE, OK 74403-6032
(918) 231-7425
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
23714
OK
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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