JAYSON D AVENMARG

POTEAU, OK
NPI1093711053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: OK  27369)
Additional Taxonomies208600000X Surgery
(Licence: CA  A65237)
Enumeration Date2005-06-23
Last Update Date2010-03-16
Business Address
Dr. JAYSON D AVENMARG MD
104 WALL STREET
POTEAU, OK 74953
Phone number: 918-647-8635
Mailing Address
Dr. JAYSON D AVENMARG MD
PO BOX 689
POTEAU, OK 74953
Phone number: 918-647-8635
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