Individual
MR. JACOB ANTHONY MCCANN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 342-0087
Mailing address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 342-0087
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
02/26/2018
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