Individual
JACOB OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 GW LN, WAYNESVILLE, MO 65583-2304
(573) 842-2400
Mailing address
20365 SIMMONS RD, WAYNESVILLE, MO 65583-3318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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