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1245550433
SAMARA JA'NEL JACK
TULSA, OK
NPI
1245550433
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Former Name
SAMARA JA'NEL RAMSEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1919)
Enumeration Date
2010-06-10
Last Update Date
2019-02-28
Business Address
Mrs. SAMARA JA'NEL JACK PA-C
7858 S OLYMPIA AVE
TULSA, OK 74132-1857
Phone number: 918-986-9200
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Mailing Address
Mrs. SAMARA JA'NEL JACK PA-C
1705 E 19TH ST STE 302
TULSA, OK 74104-5410
Phone number: 918-748-7585
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