JACK ROTHSTEIN

SAPULPA, OK
NPI1043451628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-03-12
Last Update Date2009-03-12
Business Address
Mr. JACK ROTHSTEIN
27 E DEWEY AVE
SAPULPA, OK 74066-4201
Phone number: 918-224-0225
Mailing Address
Mr. JACK ROTHSTEIN
27 E DEWEY AVE
SAPULPA, OK 74066-4201
Phone number: 918-224-0225
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