Individual
BOBBIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 856-7851
Mailing address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 856-7851
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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