Individual
DYLAN MORRISON JAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(572) 204-9575
Mailing address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(572) 204-9575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
06/22/2023
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