Individual
JEFF TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 RIDGECREST RD, EDMOND, OK 73013-6653
(405) 203-7898
Mailing address
1620 RIDGECREST RD, EDMOND, OK 73013-6653
(405) 203-7898
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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