Individual
MRS. JAYNE HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 W MAIN ST, TISHOMINGO, OK 73460-1734
(580) 371-3799
Mailing address
705 W MAIN ST, TISHOMINGO, OK 73460-1734
(580) 371-3799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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