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1558423228
JONATHAN DAVIS TATUM
TULSA, OK
NPI
1558423228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT3669)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN DAVIS TATUM PT
3316 E 21ST ST SUITE C
TULSA, OK 74114-1967
Phone number: 918-747-0066
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Mailing Address
Mr. JONATHAN DAVIS TATUM PT
3420 N ATLANTA AVE
TULSA, OK 74110-1537
Phone number:
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