JILLYAN AVERY LONG

TULSA, OK
NPI1548854557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: OK  3281)
Enumeration Date2021-02-22
Last Update Date2021-02-22
Business Address
JILLYAN AVERY LONG PTA
8165 S MINGO RD STE 101
TULSA, OK 74133-4667
Phone number: 918-615-6280
Mailing Address
JILLYAN AVERY LONG PTA
8165 S MINGO RD STE 101
TULSA, OK 74133-4667
Phone number: 918-615-6280
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