Individual
GABRIEL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(504) 330-2592
Mailing address
1525 E OMAHA ST APT B6, BROKEN ARROW, OK 74012-0324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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