Individual
JA'RON JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
9700 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6917
(405) 735-9732
Mailing address
9700 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6917
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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