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Mr. Jason Lee Prather, ATC
Specialist in Ada, Oklahoma
NPI 1932221793

Jason Lee Prather is a Specialist based in Ada, OK. Jason Lee Prather practices in Ada, OK and has the professional credentials of ATC. The NPI Number for Jason Lee Prather is 1932221793 and holds a License No. AT 206 (Oklahoma).

The current practice location address for Jason Lee Prather is 1100 E 14Th St, Ada, OK and can be reached out via phone at 580-310-5315 and via fax at 580-332-8361.

Location: 1100 E 14Th St, Ada, OK, 74820-4051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932221793
Provider Name
Jason Lee Prather
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1100 E 14Th St, Ada, OK, 74820-4051
Phone Number
580-310-5315
Fax Number
580-332-8361
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 E 14Th St
City
Ada
State
Oklahoma
Zip
74820-6915
Phone Number
580-310-5315
Fax Number
580-332-8361
person
Provider Business Mailing Address Details
Address
1100 E 14Th St
City
Ada
State
Oklahoma
Zip
74820-6915
Phone Number
580-310-5315
Fax Number
580-332-8361
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AT 206 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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