Individual
JORDAN VANDERBILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 S RANCHWOOD BLVD STE 11, YUKON, OK 73099-2745
(405) 229-1923
Mailing address
300 S RANCHWOOD BLVD STE 11, YUKON, OK 73099-2745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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