JERRY ALLEN GOOCH

OKLAHOMA CITY, OK
NPI1083927057
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  64744)
Enumeration Date2010-07-20
Last Update Date2010-07-20
Business Address
Mr. JERRY ALLEN GOOCH
921 NE 13TH ST. VA MEDICAL CENTER
OKLAHOMA CITY, OK 73104-5028
Phone number: 405-795-3779
Mailing Address
Mr. JERRY ALLEN GOOCH
RT 1 BOX 569
CASHION, OK 73016
Phone number: 405-795-3779
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