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1104582030
ISAIAH JOHN EBERT
TULSA, OK
NPI
1104582030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
ISAIAH JOHN EBERT
8102 E 65TH PL
TULSA, OK 74133-2362
Phone number: 614-285-8072
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Mailing Address
ISAIAH JOHN EBERT
8102 E 65TH PL
TULSA, OK 74133-2362
Phone number: 614-285-8072
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