Jesse Rouse

NPI #1588475859 in Vian, Oklahoma

Provider Information

NPI Number: 1588475859
Entity Type: Individual
Name: Jesse Rouse
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 16, 2025
Last Updated: Jan 16, 2025

Practice Location

Address: 452604 E 980 RD
City: Vian
State: Oklahoma
ZIP Code: 74962-5253
Phone: (918) 773-2339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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