TERRY LEE NICKELS

OKLAHOMA CITY, OK
NPI1508961095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  1706)
Enumeration Date2006-09-13
Last Update Date2009-11-24
Business Address
-- TERRY LEE NICKELS D.O.
2803 SE 44TH ST
OKLAHOMA CITY, OK 73129-8533
Phone number: 405-672-1316
Mailing Address
-- TERRY LEE NICKELS D.O.
PO BOX 95165
OKLAHOMA CITY, OK 73143-5165
Phone number: 405-672-1316
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