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Individual

CHRISTOPHER C JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2824 NW 162ND ST, EDMOND, OK 73013-1237
(405) 535-4907
(405) 285-6109
Mailing address
2824 NW 162ND ST, EDMOND, OK 73013-1237
(405) 535-4907
(405) 285-6109

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
N082141753
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200282210A
OK
Enumeration date
04/20/2012
Last updated
04/20/2012
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