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1245528603
JORDAN LEIGH BERRY DETWILER
TULSA, OK
NPI
1245528603
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Former Name
JORDAN LEIGH BERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2011-07-19
Last Update Date
2022-02-03
Business Address
JORDAN LEIGH BERRY DETWILER CCC-SLP
3223 E 31ST ST
TULSA, OK 74105-2452
Phone number: 918-250-7093
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Mailing Address
JORDAN LEIGH BERRY DETWILER CCC-SLP
3223 E 31ST ST
TULSA, OK 74105-2452
Phone number: 918-250-7093
Copy
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