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Individual

JARRIS KENTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 W UNIVERSITY ST, SHAWNEE, OK 74804-2522
(405) 585-4000
Mailing address
305 E FRANKLIN ST, SHAWNEE, OK 74804-3006
(903) 253-6450

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
OK

Other

Enumeration date
03/27/2026
Last updated
03/27/2026
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