Gary Wayne Jessup

NPI #1427696996 in Bridgeport, Texas

Provider Information

NPI Number: 1427696996
Entity Type: Individual
Name: Gary Wayne Jessup
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 1203 US HIGHWAY 380
City: Bridgeport
State: Texas
ZIP Code: 76426-2087
Phone: (940) 683-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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