Individual
JAKE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 NW 34TH ST APT 2, OKLAHOMA CITY, OK 73118-5634
(580) 220-8469
Mailing address
1132 NW 34TH ST APT 2, OKLAHOMA CITY, OK 73118-5634
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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