Nicklas Bates Adair

NPI #1619738820 in Jay, Oklahoma

Provider Information

NPI Number: 1619738820
Entity Type: Individual
Name: Nicklas Bates Adair
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 16, 2024
Last Updated: Jan 16, 2024

Practice Location

Address: 1015 W WASHBOURNE ST
City: Jay
State: Oklahoma
ZIP Code: 74346-4205
Phone: (918) 740-4369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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