Individual
JACOB EARL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6305 E 120TH CT UNIT D, TULSA, OK 74137-8810
(918) 852-0110
Mailing address
20907 E 34TH PL S, BROKEN ARROW, OK 74014-5108
(918) 852-0110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4480
OK
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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