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Organization

JACOB'S REHAB SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AZARAYAH JAEL-DOVE ISRAEL LPC (VICE PRESIDENT/SECRETARY)
(405) 414-3007
Entity
Organization

Contact information

Practice address
7104 MEADOW LAKE DR, YUKON, OK 73099-6033
(405) 414-3007
Mailing address
7104 MEADOW LAKE DR, YUKON, OK 73099-6033
(405) 414-3007

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/15/2025
Last updated
07/15/2025
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