Individual
JERRY RAY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1724 NW 4TH ST, OKLAHOMA CITY, OK 73106-2609
(405) 934-2436
Mailing address
1724 NW 4TH ST, OKLAHOMA CITY, OK 73106-2609
(405) 934-2436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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