Individual
JAMIE GENTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 382-2420
Mailing address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 382-2420
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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