Mr. Jeremy D Fultz
Mr. Jeremy D Fultz is a Community/Behavioral Health Agency in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2012
Practice location Address checks out
7620 NW 14th TerOklahoma City, OK 73127-3115
Phone: (405) 823-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 35-2456420 (OK) |
|---|
Record details
| NPI number | 1518219484 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2012 |
| Last updated in NPPES | October 2, 2012 |
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