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1508248089
HENRY JAKE WHITENER
TAHLEQUAH, OK
NPI
1508248089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: OK 6072)
Enumeration Date
2015-06-22
Last Update Date
2024-06-04
Business Address
HENRY JAKE WHITENER DO
19600 E ROSS ST
TAHLEQUAH, OK 74464-0545
Phone number: 539-234-1000
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Mailing Address
HENRY JAKE WHITENER DO
19600 E ROSS ST
TAHLEQUAH, OK 74464-0545
Phone number: 539-234-1000
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