Individual
JASON CLAY PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4120 E 30TH ST, EDMOND, OK 73013-7921
(405) 255-9637
Mailing address
4120 E 30TH ST, EDMOND, OK 73013-7921
(405) 255-9637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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