Most Relevant Information
Provider Data
| NPI Number: | 1003524083 |
| Provider Name: | JIMMIE D TRUITT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2022 |
| Last Updated: | 11/09/2022 |
Provider Practice Location
2701 W UNIVERSITY BLVD
DURANT
OK
747012997
Practice Location Phone/Fax
| Phone: | 5807404053 |
| Fax: |
Provider Mailing Location
228 N BROADWAY
STONEWALL
OK
74871
Provider Mailing Phone/Fax
| Phone: | 5804215212 |
| Fax: |