Individual
PAUL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 S SHERIDAN RD, TULSA, OK 74129-1043
(918) 838-1000
Mailing address
2323 S SHERIDAN RD, TULSA, OK 74129-1043
(918) 838-1000
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1110
OK
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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