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1578794087
OLEN LYNN JESTIS
DURANT, OK
NPI
1578794087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 4774)
Enumeration Date
2009-07-31
Last Update Date
2012-04-06
Business Address
DR. OLEN LYNN JESTIS D.O.
1610 W UNIVERSITY BLVD
DURANT, OK 74702-1610
Phone number: 580-924-3400
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Mailing Address
DR. OLEN LYNN JESTIS D.O.
1610 W UNIVERSITY BLVD
DURANT, OK 74702-1610
Phone number: 580-924-3400
Copy
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