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1083681159
JERRY K COBURN
MUSKOGEE, OK
NPI
1083681159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 956)
Enumeration Date
2006-03-07
Last Update Date
2010-07-08
Business Address
Mr. JERRY K COBURN OD
742 N YORK ST
MUSKOGEE, OK 74403-3866
Phone number: 918-682-7752
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Mailing Address
Mr. JERRY K COBURN OD
742 N YORK ST
MUSKOGEE, OK 74403-3866
Phone number: 918-682-7752
Copy
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