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Jamie Parker

Peer Specialist in Pryor, OK. Individual provider (NPI-1).

NPI number1164057766
StatusActive
Last updated in NPPESJun 5, 2020

Details

NPI
1164057766
Entity type
Individual (NPI-1)
Name
Jamie Parker
Sex
Male
Sole proprietor
No
Enumeration date
Mar 4, 2020
Certification date
Jun 5, 2020
Last updated
Jun 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

109 N Fairland St
Pryor, OK 74361-4203

Phone 918-373-1801

Mailing address

109 N Fairland St
Pryor, OK 74361-4203

Phone 918-965-9203

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