JIMMIE PETERSON

OKLAHOMA CITY, OK
NPI1417483405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-05-11
Last Update Date2020-12-22
Business Address
JIMMIE PETERSON
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
Mailing Address
JIMMIE PETERSON
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
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