Individual
JIMMIE D TRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 W UNIVERSITY BLVD, DURANT, OK 74701-2997
(580) 740-4053
Mailing address
228 N BROADWAY, STONEWALL, OK 74871
(580) 421-5212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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