Individual
JASON ALEXANDER CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
2717 NW DENVER AVE, LAWTON, OK 73505-3942
(580) 647-3762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
08/14/2019
Last updated
07/05/2023
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