Individual
JERALD L. DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
1305 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2403
(450) 702-6677
Mailing address
1305 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2403
(450) 702-6677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205864448
—
OK
Enumeration date
04/12/2013
Last updated
04/12/2013
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