Individual
JONATHAN MICHAEL HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6963 E 15TH PL APT 239, TULSA, OK 74112-7410
(918) 402-3220
Mailing address
6963 E 15TH PL APT 239, TULSA, OK 74112-7410
(918) 402-3220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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