Individual
JORDAN JAMES MATTHEW OXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6015 OXLEY RD, MILL CREEK, OK 74856-5558
(580) 618-3772
Mailing address
6015 OXLEY RD, MILL CREEK, OK 74856-5558
(580) 618-3772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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