Individual
JERAD LEE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 424-7711
Mailing address
1113 SW 133RD PL, OKLAHOMA CITY, OK 73170-6965
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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