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Individual

JAKE STRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
1301 N MAIN ST, GUYMON, OK 73942-3303
(580) 338-4676
(580) 338-4686
Mailing address
1301 N MAIN ST, GUYMON, OK 73942-3303
(580) 338-4676
(580) 338-4686

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04758
KS
225100000X
Physical Therapist
Primary
4689
OK

Other

Enumeration date
12/11/2014
Last updated
12/11/2014
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