Ryan Jacobson

NPI #1013401405 in Tulsa, Oklahoma

Provider Information

NPI Number
1013401405
Entity Type
Individual
Name
Ryan Jacobson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 19, 2018
Last Updated
Jun 19, 2018

Practice Location

Address
6155 S 28TH WEST AVE
City
Tulsa
ZIP Code
74132-1394
Phone
(918) 855-4065

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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