Individual
MR. JEFFREY L MIMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
2600 TEALWOOD, 825, OKLAHOMA CITY, OK 73120
(405) 923-3189
Mailing address
2600 TEALWOOD DR, 825, OKLAHOMA CITY, OK 73120-1758
(405) 923-3189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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