Individual
JACQUELYN PIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 W MAIN ST, ANTLERS, OK 74523-2045
(580) 298-3001
(580) 298-5357
Mailing address
112 7TH AVE NE, ARDMORE, OK 73401-6826
(580) 598-3001
(580) 298-5357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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