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1336763945
JORDAN PATTY
SAPULPA, OK
NPI
1336763945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-05-31
Last Update Date
2020-05-31
Business Address
JORDAN PATTY
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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Mailing Address
JORDAN PATTY
4103 S YALE AVE STE B
TULSA, OK 74135-6002
Phone number: 918-382-7300
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