Individual
JASON W MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5361 E 26TH ST, TULSA, OK 74114-4901
(918) 408-5199
Mailing address
5361 E 26TH ST, TULSA, OK 74114-4901
(918) 408-5199
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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