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1003111972
JESSICA LEE LUETKEMEYER
TULSA, OK
NPI
1003111972
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Former Name
JESSICA LEE HEITERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1960)
Enumeration Date
2011-01-24
Last Update Date
2022-06-08
Business Address
JESSICA LEE LUETKEMEYER PA-C
1111 S SAINT LOUIS AVE
TULSA, OK 74120-5440
Phone number: 918-619-4400
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Mailing Address
JESSICA LEE LUETKEMEYER PA-C
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number: 186-194-4009
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