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1104847359
JACKIE L NEWHAM
TULSA, OK
NPI
1104847359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0054298)
Enumeration Date
2006-07-22
Last Update Date
2007-07-12
Business Address
Mrs. JACKIE L NEWHAM ARNP
6151 S YALE AVE STE 400
TULSA, OK 74136-1933
Phone number: 918-494-8500
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Mailing Address
Mrs. JACKIE L NEWHAM ARNP
6151 S YALE AVE STE 400
TULSA, OK 74136-1933
Phone number: 918-494-8500
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