JARED DAVIS SPENCER

JENKS, OK
NPI1700591583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  805)
Enumeration Date2023-01-17
Last Update Date2023-01-17
Business Address
JARED DAVIS SPENCER
2303 W 113TH CT S
JENKS, OK 74037-1729
Phone number: 580-747-8860
Mailing Address
JARED DAVIS SPENCER
2303 W 113TH CT S
JENKS, OK 74037-1729
Phone number: 580-747-8860