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1437819018
JONATHAN CHARLES DAVIS
TULSA, OK
NPI
1437819018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
JONATHAN CHARLES DAVIS
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
JONATHAN CHARLES DAVIS
PO BOX 272
JENKS, OK 74037-0272
Phone number:
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