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1235757568
JEFFREY JORDAN WILSON
OKMULGEE, OK
NPI
1235757568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 7326)
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
Dr. JEFFREY JORDAN WILSON DDS
1313 E 20TH ST
OKMULGEE, OK 74447-6303
Phone number: 918-591-5721
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Mailing Address
Dr. JEFFREY JORDAN WILSON DDS
5528 E 107TH ST
TULSA, OK 74137-7293
Phone number: 918-576-9293
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