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1124669643
JORDAN BEASLEY
TULSA, OK
NPI
1124669643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 3138)
Enumeration Date
2019-10-06
Last Update Date
2020-03-03
Business Address
JORDAN BEASLEY
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-2645
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Mailing Address
JORDAN BEASLEY
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-748-7585
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