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1578544086
JERRY C CRAIN
COLLINSVILLE, OK
NPI
1578544086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 1867)
Enumeration Date
2005-11-10
Last Update Date
2012-04-23
Business Address
Dr. JERRY C CRAIN D.O.
1205 W MAIN ST
COLLINSVILLE, OK 74021-3114
Phone number: 918-371-5885
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Mailing Address
Dr. JERRY C CRAIN D.O.
1205 W MAIN ST
COLLINSVILLE, OK 74021-3114
Phone number: 918-371-5885
Copy
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