Individual
DR. JEWELL IRENE LINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR
Contact information
Practice address
25671 S 490 RD, TAHLEQUAH, OK 74464-1616
(918) 456-4514
Mailing address
25671 S 490 RD, TAHLEQUAH, OK 74464-1616
(918) 456-4514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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