JORDAN TYLER BUSH

MCALESTER, OK
NPI1215493127
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2019-02-15
Last Update Date2019-02-16
Business Address
JORDAN TYLER BUSH
727 E WYANDOTTE AVE
MCALESTER, OK 74501-5451
Phone number: 918-420-5343
Mailing Address
JORDAN TYLER BUSH
PO BOX 292
WHITEFIELD, OK 74472-0292
Phone number: 918-448-2232
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