Jacob Russell
Jacob Russell is an Other Specialist/Technologist in Norman, Oklahoma. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
320 12th Ave NENorman, OK 73071-5238
Phone: (405) 573-3842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X |
|---|
Record details
| NPI number | 1942540398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 21, 2013 |
| Last updated in NPPES | February 21, 2013 |
| Mailing address | 1840 W Boyd St, Norman, OK 73069-4828 |