Individual
LEANN TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W COMMERCE, YUKON, OK 73099
(405) 354-1927
Mailing address
2808 S CHARLES DR, EL RENO, OK 73036-6121
(405) 262-6299
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
116482
OK
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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