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1497156343
JERRY MOFFATT
TULSA, OK
NPI
1497156343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OK 0000000000)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
-- JERRY MOFFATT
815 S QUAKER AVE
TULSA, OK 74120-4619
Phone number: 918-350-4449
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Mailing Address
-- JERRY MOFFATT
815 S QUAKER AVE
TULSA, OK 74120-4619
Phone number: 918-350-4449
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