JERRY WYATT

DURANT, OK
NPI1508999558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OK  3456)
Enumeration Date2007-03-13
Last Update Date2008-08-21
Business Address
-- JERRY WYATT MBS
1925 W ELM ST
DURANT, OK 74701-3429
Phone number: 580-924-6363
Mailing Address
-- JERRY WYATT MBS
1925 W ELM ST
DURANT, OK 74701-3429
Phone number: 580-924-6363
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