Individual
JORDAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 422-8845
Mailing address
9905 RUGER RD, YUKON, OK 73099-5099
(405) 361-3223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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