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Individual

JASON VANHOOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
1121 NEO LOOP, GROVE, OK 74344-6046
(918) 786-8448
(918) 786-9502
Mailing address
16700 S 580 RD, FAIRLAND, OK 74343-2713
(918) 533-2760

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204798
OK

Other

Enumeration date
08/20/2021
Last updated
05/05/2022
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