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1174366421
JACKSON CARR
TULSA, OK
NPI
1174366421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
JACKSON CARR
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
JACKSON CARR
5079 S 136TH EAST AVE APT 221
TULSA, OK 74134-7013
Phone number: 405-549-4131
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