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1720071616
JERRY WAYNE FREED
TULSA, OK
NPI
1720071616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 3853)
Enumeration Date
2005-08-25
Last Update Date
2011-11-21
Business Address
Dr. JERRY WAYNE FREED d.o.
7512 E 91ST ST
TULSA, OK 74133-6050
Phone number: 918-728-2000
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Mailing Address
Dr. JERRY WAYNE FREED d.o.
7512 E 91ST ST
TULSA, OK 74133-6050
Phone number: 918-728-2505
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