Individual
CAMERON ANDREW JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2109 CREEK CIR, EDMOND, OK 73013-6834
(405) 201-4581
Mailing address
2109 CREEK CIR, EDMOND, OK 73013-6834
(405) 201-4581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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