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Johnathan Culver
Recovery Care Clinic/Center in Vinita, Oklahoma
NPI 1245983881

Johnathan Culver is a Recovery Care Clinic/Center based in Vinita, OK and is specialized in Recovery Care. Johnathan Culver practices in Vinita, OK. The NPI Number for Johnathan Culver is 1245983881 and holds a License No. (Oklahoma).

The current practice location address for Johnathan Culver is 405 E Excelsior Ave, Vinita, OK and can be reached out via phone at 918-256-6476.

Location: 405 E Excelsior Ave, Vinita, OK, 74301-4226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245983881
Provider Name
Johnathan Culver
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 E Excelsior Ave, Vinita, OK, 74301-4226
Phone Number
918-256-6476
Fax Number
Provider Enumeration Date
02/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9JIC 01 OK 9JIC
institution
Provider Business Practice Location Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
person
Provider Business Mailing Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Recovery Care
Taxonomy
261QR0800X
License No.
(Oklahoma)
Definition
Definition to come...
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