Individual
HAROLD RAY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 MADISON ST., BRAGGS, OK 74423
(918) 577-5552
Mailing address
PO BOX 335, BRAGGS, OK 74423-0335
(918) 577-5552
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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