Jacob Ray Paul

NPI #1366951493 in Pryor, Oklahoma

Provider Information

NPI Number: 1366951493
Entity Type: Individual
Name: Jacob Ray Paul
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 20, 2017
Last Updated: Oct 10, 2017

Practice Location

Address: 231 E GRAHAM AVE
City: Pryor
State: Oklahoma
ZIP Code: 74361-2436
Phone: (918) 782-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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