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1508531310
JACOB CHARLES UNSICKER
TULSA, OK
NPI
1508531310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 4947)
Enumeration Date
2021-08-12
Last Update Date
2023-02-20
Business Address
JACOB CHARLES UNSICKER PA student
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number: 918-660-3842
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Mailing Address
JACOB CHARLES UNSICKER PA student
1729 S XANTHUS AVE
TULSA, OK 74104-5323
Phone number: 405-593-9244
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