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Individual

JAY MICHAEL BIBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BHRS

Contact information

Practice address
6216 S LEWIS AVE, TULSA, OK 74136-1044
(918) 960-7852
Mailing address
1069 E 144TH PL, GLENPOOL, OK 74033-3756
(918) 809-8049

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OK

Other

Enumeration date
01/09/2013
Last updated
01/09/2013
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