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1215493127
JORDAN TYLER BUSH
MCALESTER, OK
NPI
1215493127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-15
Last Update Date
2019-02-16
Business Address
JORDAN TYLER BUSH
727 E WYANDOTTE AVE
MCALESTER, OK 74501-5451
Phone number: 918-420-5343
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Mailing Address
JORDAN TYLER BUSH
PO BOX 292
WHITEFIELD, OK 74472-0292
Phone number: 918-448-2232
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