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1316205552
JASON FLOYD
POTEAU, OK
NPI
1316205552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-04-25
Last Update Date
2020-10-28
Business Address
Mr. JASON FLOYD
804 S BROADWAY ST
POTEAU, OK 74953-3834
Phone number: 918-647-9629
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Mailing Address
Mr. JASON FLOYD
104106 STATE HIGHWAY 64B
MULDROW, OK 74948-7315
Phone number: 918-315-9890
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