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1669478962
JERRY DEAN WEST
TULSA, OK
NPI
1669478962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 0853)
Enumeration Date
2005-06-22
Last Update Date
2010-06-16
Business Address
Mr. JERRY DEAN WEST O.D.
7171 S YALE AVE STE 104
TULSA, OK 74136-6367
Phone number: 918-492-1722
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Mailing Address
Mr. JERRY DEAN WEST O.D.
7171 S YALE AVE STE 104
TULSA, OK 74136-6367
Phone number: 918-492-1722
Copy
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