JORDAN DIVILBISS

EDMOND, OK
NPI1831587591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  4323)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- JORDAN DIVILBISS M.A., CCC-SLP
14715 BRISTOL PARK BLVD
EDMOND, OK 73013-1894
Phone number: 405-840-1686
Mailing Address
-- JORDAN DIVILBISS M.A., CCC-SLP
14715 BRISTOL PARK BLVD
EDMOND, OK 73013-1894
Phone number: 405-840-1686
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