TRAVIS JEREMY NELSON

TULSA, OK
NPI1386985869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  5603)
Enumeration Date2013-03-08
Last Update Date2016-07-01
Business Address
-- TRAVIS JEREMY NELSON
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone number: 918-582-1980
Mailing Address
-- TRAVIS JEREMY NELSON
1910 S FALCON AVE
CLAREMORE, OK 74019-2237
Phone number: 918-582-1980
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