Brenda J Tyson Sullivan

NPI 1255673398 - Counselor - 101YM0800X

NPI Details
NPI 1255673398
Gender Female
Enumeration Date 03/26/2013
Last Updated 03/26/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
11816 GWENDOLYN LN
OKLAHOMA CITY OK, 73131-4402, US
Phone (405) 315-1939
Fax
Business Location
11816 GWENDOLYN LN
OKLAHOMA CITY OK, 73131-4402, US
Phone (405) 315-1939
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Brenda J Tyson Sullivan NPI is 1255673398, taxonomy code is 101YM0800X Brenda J Tyson Sullivan physically located at 11816 Gwendolyn Ln, Oklahoma City OK, 73131-4402. NPI Number Brenda J Tyson Sullivan has the Individual type.

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1255673398 NPI number is provided on an as is basis without warranty of any kind. 1255673398 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda J Tyson Sullivan are for informational purposes only.