Individual
JEFFERY MYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1606 E ROOSEVELT BLVD STE 109, MONROE, NC 28112-4049
(980) 819-2018
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1499
NC
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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