MITUL SHAH

JENKS, OK
NPI1134938269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-01-03
Last Update Date2025-01-03
Business Address
MITUL SHAH
525 N VINE ST
JENKS, OK 74037-3471
Phone number: 918-269-0932
Mailing Address
MITUL SHAH
525 N VINE ST
JENKS, OK 74037-3471
Phone number: 918-269-0932
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