Individual
JONATHAN CARL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(539) 235-7393
Mailing address
49701 W 341ST ST S, STROUD, OK 74079-7383
(405) 836-1630
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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