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1366865545
JASON LAMONT DAVIS
TULSA, OK
NPI
1366865545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-24
Last Update Date
2018-12-26
Business Address
JASON LAMONT DAVIS
12697 E 51ST ST
TULSA, OK 74146-6236
Phone number: 918-505-3259
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Mailing Address
JASON LAMONT DAVIS
12697 E 51ST ST
TULSA, OK 74146-6236
Phone number: 918-505-3200
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