Individual
MRS. JESSLYNN CODY STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N INTERSTATE DR, NORMAN, OK 73072-2993
(816) 522-3633
Mailing address
501 INWOOD DR, NORMAN, OK 73072-6515
(816) 522-3633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
OCC-10146
OK
Other
Enumeration date
12/13/2008
Last updated
12/13/2008
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