Individual
DR. OLEN LYNN JESTIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1610 W UNIVERSITY BLVD, DURANT, OK 74702-1610
(580) 924-3400
(580) 924-2000
Mailing address
1610 W UNIVERSITY BLVD, DURANT, OK 74702-1610
(580) 924-3400
(580) 924-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4774
OK
Other
Enumeration date
07/31/2009
Last updated
04/06/2012
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