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Individual

DR. JEFFREY LYNN PETTIGREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
114 36TH AVE NW, SUITE 120, NORMAN, OK 73072-4812
(405) 366-1110
(405) 360-5749
Mailing address
2501 BOARDWALK, NORMAN, OK 73069-6372
(405) 321-2155
(405) 321-1170

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2176
OK

Other

Enumeration date
02/05/2007
Last updated
06/14/2021
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