Individual
JESSE JAMES WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
212 S MAIN ST, HOBART, OK 73651-3628
(580) 726-3301
(580) 726-3302
Mailing address
212 S MAIN ST, HOBART, OK 73651-3628
(580) 726-3301
(580) 726-3302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3103
OK
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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