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1316916679
JERRY B VANNATTA
OKLAHOMA CITY, OK
NPI
1316916679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 10842)
Enumeration Date
2006-03-17
Last Update Date
2011-01-24
Business Address
-- JERRY B VANNATTA MD
825 NE 10TH ST OUPB 4300
OKLAHOMA CITY, OK 73104-5417
Phone number: 405-271-3445
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Mailing Address
-- JERRY B VANNATTA MD
1122 NE 13TH ST ORI 236
OKLAHOMA CITY, OK 73117-1039
Phone number: 405-271-1515
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