Individual
JESURUN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2448 E 81ST ST STE 4460, TULSA, OK 74137-4251
(918) 600-2966
Mailing address
1719 W CAMERON ST, TULSA, OK 74127-6708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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