RYAN MICHAEL JACOB

EDMOND, OK
NPI1609448323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-07-13
Last Update Date2021-07-13
Business Address
RYAN MICHAEL JACOB
100 N UNIVERSITY DR
EDMOND, OK 73034-5207
Phone number: 405-974-2727
Mailing Address
RYAN MICHAEL JACOB
12221 S LAND AVE
OKLAHOMA CITY, OK 73170-4509
Phone number: 405-837-2895