Individual
JASON DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11101 N 119TH EAST AVE, OWASSO, OK 74055-3709
(918) 520-2273
Mailing address
11101 N 119TH EAST AVE, OWASSO, OK 74055-3709
(918) 520-2273
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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