Individual
JOEL MITCHELL SPRINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13100 BRANDON PL, OKLAHOMA CITY, OK 73142
(405) 720-0010
Mailing address
13100 TIMBERCREST, OKLAHOMA CITY, OK 73142
(405) 203-3464
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1661
OK
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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