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1033881628
JERRY WAYNE CAMPBELL
PRYOR, OK
NPI
1033881628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
JERRY WAYNE CAMPBELL
205 S ADAIR ST
PRYOR, OK 74361-5201
Phone number: 918-803-2779
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Mailing Address
JERRY WAYNE CAMPBELL
901 S ELLIOTT ST
PRYOR, OK 74361-7003
Phone number: 918-944-9970
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