Individual
EDDIE TAYLOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5513 N UTICA AVE, TULSA, OK 74130-1724
(918) 237-0155
Mailing address
5513 N UTICA AVE, TULSA, OK 74130-1724
(918) 237-0155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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