Individual
JAMES MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 SE 51ST ST, OKLAHOMA CITY, OK 73129-8823
(405) 408-4350
Mailing address
2621 SE 51ST ST, OKLAHOMA CITY, OK 73129-8823
(405) 408-4350
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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