Jerry Wyatt, MBS

NPI #1508999558 in Durant, Oklahoma

Provider Information

NPI Number: 1508999558
Entity Type: Individual
Name: Jerry Wyatt, MBS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MBS
Enumeration Date: Mar 13, 2007
Last Updated: Aug 21, 2008

Practice Location

Address: 1925 W ELM ST
City: Durant
State: Oklahoma
ZIP Code: 74701-3429
Phone: (580) 924-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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