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1265402721
JACK SHEARER
STILLWATER, OK
NPI
1265402721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OK 4032)
Enumeration Date
2006-01-25
Last Update Date
2007-07-08
Business Address
-- JACK SHEARER DO
1323 W 6TH AVE
STILLWATER, OK 74074-4306
Phone number: 405-372-1480
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Mailing Address
-- JACK SHEARER DO
PO BOX 47642
WICHITA, KS 67201-7642
Phone number: 316-685-6236
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