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1487885877
JACOB LEON CALLISON
BROKEN ARROW, OK
NPI
1487885877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1844)
Enumeration Date
2009-08-03
Last Update Date
2024-10-08
Business Address
JACOB LEON CALLISON PA
5050 E KENOSHA ST
BROKEN ARROW, OK 74014-6711
Phone number: 918-994-5140
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Mailing Address
JACOB LEON CALLISON PA
5050 E KENOSHA ST
BROKEN ARROW, OK 74014-6711
Phone number: 918-994-5140
Copy
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