JERRY EDWARD CARREL

OKLAHOMA CITY, OK
NPI1205925195
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  pa519)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Mr. JERRY EDWARD CARREL
921 N.E.13TH
OKLAHOMA CITY, OK 73104
Phone number: 405-270-0501
Mailing Address
Mr. JERRY EDWARD CARREL
2112 NE 15TH ST
MOORE, OK 73160-8625
Phone number: 405-799-5951
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