Rickey Allen Thornburg Jr.
Rickey Allen Thornburg Jr. 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
717 Butler StTahlequah, OK 74464-2400
Phone: (580) 399-6955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1750150256 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2023 |
| Last updated in NPPES | December 26, 2023 |
| Certification date | December 26, 2023 |
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