Individual
JERAN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 MAIN ST, WATTS, OK 74964
(918) 422-4888
Mailing address
RR 5 BOX 727, STILWELL, OK 74960-9204
(918) 575-2013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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