Individual
MR. JASON MICHAEL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6378
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0069797
OK
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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