Individual
JASON T BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6690
Mailing address
822 RUSSELL CIR, NORMAN, OK 73071-4652
(405) 305-4804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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