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1225678378
SAMUEL T JORDEN
TULSA, OK
NPI
1225678378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 4590)
Enumeration Date
2020-01-07
Last Update Date
2021-06-22
Business Address
SAMUEL T JORDEN PA
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-1805
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Mailing Address
SAMUEL T JORDEN PA
6600 S YALE AVE STE 1200
TULSA, OK 74136-3361
Phone number: 918-488-6653
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