Individual
PAITON MINYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7306 S YALE AVE, TULSA, OK 74136
(918) 280-0090
Mailing address
7107 S YALE AVE # 161, TULSA, OK 74136-6308
(918) 280-0090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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