Jerry Wade
Jerry Wade is a Peer Specialist in Ada, Oklahoma. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
301 W 4th StAda, OK 74820-3411
Phone: (580) 257-2444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1396471231 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 25, 2022 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
| Mailing address | 301 W 4th St, Ada, OK 74820-3411 |
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