Individual
JESSICA TAYLOR DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 BROADWAY EXT, OKLAHOMA CITY, OK 73116-9045
(405) 767-1126
Mailing address
2007 ROBINSON ST, ARDMORE, OK 73401-1390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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