Individual
JASON LEE TRIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
14126 COUNTY ROAD 1573, ADA, OK 74820-1552
(580) 399-4803
Mailing address
14126 COUNTY ROAD 1573, ADA, OK 74820-1552
(580) 399-4803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/23/2013
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