Provider Information for 1235345232
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GERALD WINTER
Sex: Male
NPI: 1235345232
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1235345232 | ||||||||
| Enumeration Date | 2007-05-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1222 10TH ST STE 211 WOODWARD, OK 73801-3156 United States Phone: 580-234-3791 | Fax:580-237-7711 | ||||||||
| Primary Practice Address | 702 N GRAND ST ENID, OK 73701-3221 United States Phone: 580-234-3791 | Fax:580-237-7711 | ||||||||
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