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Jerry Moynihan

NPI 1275359945 · on the registry since 2024 · sole proprietor

Practice

Address
4028 W 42nd St
Tulsa, OK 74107
Phone
(512) 571-3286

Registry record

Primary taxonomy
Nursing Care Agency
251J00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-27
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma