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Jerry Medlock

NPI 1285164392 · on the registry since 2017 · sole proprietor

Practice

Address
4312 Vfw Dr. Apt # 7
4312 Vfw Dr. Apt # 7
Del City, OK 73115
Phone
(405) 468-0922

Registry record

Primary taxonomy
175T00000X
175T00000X
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma