Individual
JAMES KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4209
(918) 825-1405
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
06/01/2023
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