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1700558293
JAKOB TAYLOR RAVIS
OKLAHOMA CITY, OK
NPI
1700558293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-10-02
Last Update Date
2022-06-03
Business Address
JAKOB TAYLOR RAVIS
4420 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5104
Phone number: 405-425-0341
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Mailing Address
JAKOB TAYLOR RAVIS
1504 ANDOVER CT
THE VILLAGE, OK 73120-1314
Phone number: 405-802-4500
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