Individual
JASELYN MACKENZEE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(539) 777-0940
Mailing address
411 E PECAN ST, COWETA, OK 74429-2476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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