Individual
STETSON AMERICANHORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7210 S YALE AVE, TULSA, OK 74136-6319
(918) 716-5447
Mailing address
12700 E 100ST N, 2-303, OWASSO, OK 74055
(918) 331-7205
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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