Individual
JACOB SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
12802 E 96TH ST N, OWASSO, OK 74055-5371
(918) 272-7467
Mailing address
12802 E 96TH ST N, OWASSO, OK 74055-5371
(918) 272-7467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19980
OK
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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