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1194069021
GEORGIA JEAN PHILLIP
TULSA, OK
NPI
1194069021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OK J100004580)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Ms. GEORGIA JEAN PHILLIP
6811 E 56TH ST
TULSA, OK 74145-8510
Phone number: 918-494-6806
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Mailing Address
Ms. GEORGIA JEAN PHILLIP
6811 E 56TH ST
TULSA, OK 74145-8510
Phone number: 918-500-9113
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