JERRY LEE CLAVIER

TULSA, OK
NPI1972500080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R0036941 C4439016)
Enumeration Date2005-07-05
Last Update Date2013-08-14
Business Address
Mr. JERRY LEE CLAVIER CRNA
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612
Mailing Address
Mr. JERRY LEE CLAVIER CRNA
6130 S HUDSON PL
TULSA, OK 74136-2703
Phone number: 918-493-7012
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