Jeremy Alan Frutchey

NPI 1083924070 - Counselor - 101Y00000X

NPI Details
NPI 1083924070
Gender Male
Enumeration Date 10/08/2010
Last Updated 10/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5023 S 36TH WEST AVE
TULSA OK, 74107-7403, US
Phone (405) 269-2821
Fax
Business Location
5023 S 36TH WEST AVE
TULSA OK, 74107-7403, US
Phone (405) 269-2821
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Jeremy Alan Frutchey NPI is 1083924070, taxonomy code is 101Y00000X Jeremy Alan Frutchey physically located at 5023 S 36th West Ave, Tulsa OK, 74107-7403. NPI Number Jeremy Alan Frutchey has the Individual type.

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1083924070 NPI number is provided on an as is basis without warranty of any kind. 1083924070 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Alan Frutchey are for informational purposes only.