Individual
JONATHAN DAVID YBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11911 S MEMORIAL DR, BIXBY, OK 74008-2030
(918) 943-3790
(918) 943-3793
Mailing address
11911 S MEMORIAL DR, BIXBY, OK 74008-2030
(918) 943-3790
(918) 970-4008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209561
OK
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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