Individual
MR. JACOB LYNN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 60 BOX 1320, CLAYTON, OK 74536-9610
(918) 569-4168
Mailing address
HC 60 BOX 1320, CLAYTON, OK 74536-9610
(918) 569-4168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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