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1225559404
JOHN NATHAN JACOBSEN
OKLAHOMA CITY, OK
NPI
1225559404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 6926)
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
JOHN NATHAN JACOBSEN D.D.S.
235 SW 25TH ST.
OKLAHOMA CITY, OK 73109
Phone number: 405-295-4967
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Mailing Address
JOHN NATHAN JACOBSEN D.D.S.
235 SW 25TH ST
OKLAHOMA CITY, OK 73109
Phone number: 405-295-4967
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