Individual
JASON D VANHOOZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23899 HIGHWAY 74, PURCELL, OK 73080-6964
(405) 253-3838
Mailing address
23899 HIGHWAY 74, PURCELL, OK 73080-6964
(405) 253-3838
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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