JACK WADE LETHERMON

CLAREMORE, OK
NPI1316722119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OK  214986)
Enumeration Date2023-08-29
Last Update Date2024-04-08
Business Address
Dr. JACK WADE LETHERMON DNP PMHNP
505 W 1ST ST
CLAREMORE, OK 74017-7803
Phone number: 918-606-5225
Mailing Address
Dr. JACK WADE LETHERMON DNP PMHNP
904 S DIVISION ST
SAPULPA, OK 74066-5706
Phone number: 918-606-5225
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