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Individual

JACOB CHAPPELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5105 NW 19TH ST, OKLAHOMA CITY, OK 73127-2707
(405) 508-8901
Mailing address
5105 NW 19TH ST, OKLAHOMA CITY, OK 73127-2707
(405) 508-8901

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
04/18/2025
Last updated
04/18/2025
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