JACOB LEON CALLISON

BROKEN ARROW, OK
NPI1487885877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  1844)
Enumeration Date2009-08-03
Last Update Date2024-10-08
Business Address
JACOB LEON CALLISON PA
5050 E KENOSHA ST
BROKEN ARROW, OK 74014-6711
Phone number: 918-994-5140
Mailing Address
JACOB LEON CALLISON PA
5050 E KENOSHA ST
BROKEN ARROW, OK 74014-6711
Phone number: 918-994-5140