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Individual

STEVAN JAMESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
314 E 5TH AVE STE 103, OWASSO, OK 74055-3484
(918) 609-8088
(918) 927-3201
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 927-3199
(918) 927-3201

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3765
OK

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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