JERRY SHIPP

SAPULPA, OK
NPI1396336822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374K00000X Religious Nonmedical Practitioner
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
JERRY SHIPP
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 918-639-4684
Mailing Address
JERRY SHIPP
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 918-639-4684