Individual
JACOB THOMAS DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N PORTER AVE STE 110, NORMAN, OK 73071-6426
(405) 424-7711
Mailing address
3160 ROCK CREEK TRL APT 1712, NORMAN, OK 73072-2536
(405) 210-0384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/06/2021
Last updated
11/12/2024
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