Individual
JIMMY LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13901 SE 71ST PLACE, OKLAHOMA CITY, OK 73115
(405) 386-4623
Mailing address
13901 SE 71ST PLACE, OKLAHOMA CITY, OK 73115
(405) 386-4623
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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