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1184154650
JAKE ANTHONY MERRICK
TULSA, OK
NPI
1184154650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
(Licence: OK 1034)
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
JAKE ANTHONY MERRICK
10441 S REGAL BLVD
TULSA, OK 74133-7188
Phone number: 405-513-0664
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Mailing Address
JAKE ANTHONY MERRICK
13220 S 86TH EAST PL
BIXBY, OK 74008-3465
Phone number: 405-513-0664
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