Individual
JEFFREY GAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 3RD AVE SW, ARDMORE, OK 73401-4810
(580) 677-2268
Mailing address
921 3RD AVE SW, ARDMORE, OK 73401-4810
(580) 677-2268
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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