Individual
JEAN TUGGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 NE 66TH ST, OKLAHOMA CITY, OK 73105-1236
(405) 842-3638
Mailing address
29 NE 66TH ST, OKLAHOMA CITY, OK 73105-1236
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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