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1114923489
JEFFREY ROBERT SHUART
BLACKWELL, OK
NPI
1114923489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 18498)
Enumeration Date
2005-06-22
Last Update Date
2016-10-04
Business Address
-- JEFFREY ROBERT SHUART M.D.
115 W BRIDGE AVE
BLACKWELL, OK 74631-2800
Phone number: 580-363-3501
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Mailing Address
-- JEFFREY ROBERT SHUART M.D.
115 W BRIDGE AVE
BLACKWELL, OK 74631-2800
Phone number: 580-363-3501
Copy
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