Individual
JASON PAUL WAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 NE 13TH ST, SUITE 200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
Mailing address
11513 NW 6TH ST, YUKON, OK 73099-6568
(817) 456-0922
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
80881
OK
Other
Enumeration date
01/24/2010
Last updated
01/24/2010
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