Individual
MICHAEL RAYMOND AVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
814 WEST E STREET, JENKS, OK 74037-2703
(918) 812-2839
Mailing address
814 WEST E STREET, JENKS, OK 74037
(918) 812-2839
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
30302
OK
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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