Jorden Lee Tyler

NPI #1104687433 in Vinita, Oklahoma

Provider Information

NPI Number: 1104687433
Entity Type: Individual
Name: Jorden Lee Tyler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 23, 2024
Last Updated: Jan 23, 2024

Practice Location

Address: 329 W NORTH AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-2307
Phone: (918) 915-0390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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