FLEMING JACOBY RODWELL

TAHLEQUAH, OK
NPI1205600681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
FLEMING JACOBY RODWELL
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
Mailing Address
FLEMING JACOBY RODWELL
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
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