Jimmy Ray Vanbuskirk
Jimmy Ray Vanbuskirk is a Peer Specialist in Bethany, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6717 NW 29th StBethany, OK 73008-4729
Phone: (404) 531-8035
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1962223388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2024 |
| Last updated in NPPES | October 18, 2024 |
| Certification date | October 18, 2024 |
| Mailing address | 6717 Nw 29th St, Bethany, OK 73008-4729 |
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