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1619473972
JACOB WILLIS WITMER
OKLAHOMA CITY, OK
NPI
1619473972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OK 6804)
Enumeration Date
2018-04-04
Last Update Date
2020-06-26
Business Address
JACOB WILLIS WITMER
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109-3413
Phone number: 305-636-7195
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Mailing Address
JACOB WILLIS WITMER
3301 AUSTRIAN PINE LN
YUKON, OK 73099-3008
Phone number:
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