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1477025740
JEREMY DANIEL PAYSNOE
TULSA, OK
NPI
1477025740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 3025)
Enumeration Date
2018-12-26
Last Update Date
2021-09-15
Business Address
JEREMY DANIEL PAYSNOE
1515 N HARVARD AVE STE B
TULSA, OK 74115-4904
Phone number: 918-388-1901
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Mailing Address
JEREMY DANIEL PAYSNOE
5341 E 32ND PL
TULSA, OK 74135-5204
Phone number: 405-414-3937
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