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STELLA L JORDAN

Behavioral Analyst

Boley, Oklahoma

Provider NPI: 1003051426

Provider Information:
 STELLA L JORDAN 
Gender: F
Not Sole Proprietor

Practice Location:
125 S. PECAN  BOLEY, OK 74829 US
Tel: 918-667-3317  Fax: --

Business Mailing Address:
PO BOX 6  BOLEY, OK 74829 US
Tel: 405-567-0054  Fax: 405-567-0055

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X


Other Provider Identifiers:

IssuerNumberStateType
200125800AOK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS OK - Page 1



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