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1407634678
JACOB SPURLOCK
OWASSO, OK
NPI
1407634678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 19980)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
JACOB SPURLOCK Dph
12802 E 96TH ST N
OWASSO, OK 74055-5371
Phone number: 918-272-7467
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Mailing Address
JACOB SPURLOCK Dph
12802 E 96TH ST N
OWASSO, OK 74055-5371
Phone number: 918-272-7467
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