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1124374426
JORDAN SCOTT EWERT
SHAWNEE, OK
NPI
1124374426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2728)
Enumeration Date
2012-07-24
Last Update Date
2016-10-19
Business Address
-- JORDAN SCOTT EWERT O.D.
2109 N KICKAPOO AVE
SHAWNEE, OK 74804-2732
Phone number: 405-275-2020
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Mailing Address
-- JORDAN SCOTT EWERT O.D.
2109 N KICKAPOO AVE
SHAWNEE, OK 74804-2732
Phone number: 405-275-2020
Copy
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