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Individual

JORDAN HARVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
174 DANIELS ST, HEALDTON, OK 73438-1417
(580) 264-0122
Mailing address
174 DANIELS ST, HEALDTON, OK 73438-1417
(580) 264-0122

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
P082823145
OK

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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