Individual
JORDAN LEANN SPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 253-2020
Mailing address
9316 NE 13TH ST, MIDWEST CITY, OK 73130-1210
(405) 500-6284
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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