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Individual

GARY WAYNE FURR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1120 TARBY RD, POTEAU, OK 74953-5504
(918) 429-9497
Mailing address
3102 WITTEVILLE DR, POTEAU, OK 74953-2075
(479) 222-5157

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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