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1114482940
JENNIFER AYCOCK
TULSA, OK
NPI
1114482940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OK 80180)
Enumeration Date
2019-02-06
Last Update Date
2019-02-06
Business Address
JENNIFER AYCOCK
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
JENNIFER AYCOCK
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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