Individual
JACOB RIAN FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 31ST S, TULSA, OK 74135-0000
(918) 600-3100
(918) 560-1399
Mailing address
5310 E 31ST S, TULSA, OK 74135-0000
(918) 600-3100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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