Individual
JOHN JOLLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 301, RED OAK, OK 74563-0301
(918) 413-7587
Mailing address
PO BOX 301, RED OAK, OK 74563-0301
(918) 413-7587
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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