MICAH LUKE JERRELL

BUFFALO, NY
NPI1427818301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-19
Last Update Date2024-03-19
Business Address
MICAH LUKE JERRELL DPM
2157 MAIN ST
BUFFALO, NY 14214-2692
Phone number: 716-862-1000
Mailing Address
MICAH LUKE JERRELL DPM
9729 COLONYWOOD DR
MCKINNEY, TX 75072-4957
Phone number: 469-422-3654
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