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1336766278
JORDAN STAUFFER
TULSA, OK
NPI
1336766278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2020017267)
Enumeration Date
2020-06-26
Last Update Date
2023-06-30
Business Address
JORDAN STAUFFER DO
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 417-385-7976
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Mailing Address
JORDAN STAUFFER DO
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 417-385-7976
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