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1396336822
JERRY SHIPP
SAPULPA, OK
NPI
1396336822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374K00000X Religious Nonmedical Practitioner
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
JERRY SHIPP
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 918-639-4684
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Mailing Address
JERRY SHIPP
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 918-639-4684
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