MR. Jerry Wayne Spivey

NPI #1487878518 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1487878518
Entity Type: Individual
Name: MR. Jerry Wayne Spivey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1215 N KLEIN AVE
City: Oklahoma City
State: Oklahoma
ZIP Code: 73106-4616
Phone: (405) 204-0139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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