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1215051800
JENNIFER L KIMBREL
TULSA, OK
NPI
1215051800
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Former Name
JENNIFER L MANCUSO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1601)
Enumeration Date
2007-03-19
Last Update Date
2010-03-03
Business Address
-- JENNIFER L KIMBREL PA-C
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612
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Mailing Address
-- JENNIFER L KIMBREL PA-C
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612
Copy
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