Individual
JAN OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
205 E B ST, JENKS, OK 74037-3906
(918) 299-4411
(918) 298-6610
Mailing address
205 E B ST, JENKS, OK 74037-3906
(918) 299-4411
(918) 298-6610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3124
OK
Other
Enumeration date
09/08/2015
Last updated
09/10/2015
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