NPI 1295114528

Jamie Bryan-Jabbour

Practitioner Contractor Tulsa, OK

Practice location

Address: 5304 E 79th St, Tulsa, OK 74136-8464
Phone: (918) 269-8051

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 402 (OK)

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Registry record

NPI: 1295114528
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2015
Record last updated: 19 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.