Individual
REX BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7010 S YALE AVE, SUITE 215, TULSA, OK 74136-5713
(918) 492-2554
Mailing address
7010 S YALE AVE, SUITE 215, TULSA, OK 74136-5713
(918) 492-2554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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