Brett James Gillum
Brett James Gillum is a Peer Specialist in Tahlequah, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
118 W Keetoowah StTahlequah, OK 74464-3820
Phone: (918) 708-9474
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1124806203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2023 |
| Last updated in NPPES | September 19, 2023 |
| Certification date | September 19, 2023 |
| Mailing address | 118 W Keetoowah St, Tahlequah, OK 74464-3820 |
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