Individual
NICHOLAS WILEY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12643 NS 3650, WEWOKA, OK 74884-6014
(405) 388-4607
Mailing address
12643 NS 3650, WEWOKA, OK 74884-6014
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
309198
OK
Other
Enumeration date
02/19/2013
Last updated
09/17/2024
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