JASON LEE PRATHER

ADA, OK
NPI1932221793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: OK  AT 206)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Mr. JASON LEE PRATHER ATC
1100 E 14TH ST
ADA, OK 74820-6915
Phone number: 580-310-5315
Mailing Address
Mr. JASON LEE PRATHER ATC
1200 E BEVERLY ST
ADA, OK 74820-4051
Phone number: 580-310-5006
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