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Individual

JARED JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
716 S 2ND ST STE 103, STILWELL, OK 74960-4806
(918) 696-6212
(918) 696-6213
Mailing address
3852 LEXINGTON AVE, TAHLEQUAH, OK 74464
(580) 318-4899

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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