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1366441115
JERRY HANSON PUCKETT
TULSA, OK
NPI
1366441115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: OK 12175)
Enumeration Date
2005-07-14
Last Update Date
2024-10-27
Business Address
JERRY HANSON PUCKETT MD
6475 S YALE AVE STE 401
TULSA, OK 74136-7818
Phone number: 918-502-9555
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Mailing Address
JERRY HANSON PUCKETT MD
6600 S YALE AVE STE 1200
TULSA, OK 74136-3361
Phone number: 918-488-6045
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