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Dr. Jewell Irene Linville, Doctor

Behavior Analyst in Tahlequah, OK. Individual provider (NPI-1).

NPI number1285905018
StatusActive
Last updated in NPPESJan 25, 2012

Details

NPI
1285905018
Entity type
Individual (NPI-1)
Name
Dr. Jewell Irene Linville
Credential
Doctor
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 25, 2012
Last updated
Jan 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

25671 S 490 Rd
Tahlequah, OK 74464-1616

Phone 918-456-4514

Mailing address

25671 S 490 Rd
Tahlequah, OK 74464-1616

Phone 918-456-4514

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