Jera D Burtin

NPI #1336615046 in Watonga, Oklahoma

Provider Information

NPI Number: 1336615046
Entity Type: Individual
Name: Jera D Burtin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 19, 2018
Last Updated: Oct 19, 2018

Practice Location

Address: 220 N MORELAND AVE
City: Watonga
State: Oklahoma
ZIP Code: 73772-4038
Phone: (405) 822-6847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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