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Individual

JERMAINE DOWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NREMT-I, PRRS

Contact information

Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5540
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5540

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
63179
OK

Other

Enumeration date
11/25/2012
Last updated
11/25/2012
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