Individual
JAGGER REED MESHAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 W MAIN ST, ANTLERS, OK 74523-2059
(508) 209-6112
Mailing address
PO BOX 721, ANTLERS, OK 74523-0721
(580) 271-1785
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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