Individual
JARRELL BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6130 E 32ND ST STE 116, TULSA, OK 74135-5454
(918) 270-2413
Mailing address
6130 E 32ND ST STE 116, TULSA, OK 74135-5454
(918) 270-2413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
OK
Enumeration date
08/09/2016
Last updated
08/09/2016
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