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1619934221
LUSTER I. JACOBS
TULSA, OK
NPI
1619934221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OK 12716)
Enumeration Date
2006-04-27
Last Update Date
2008-05-27
Business Address
-- LUSTER I. JACOBS MD
6161 S YALE AVE ER DEPT
TULSA, OK 74136-1902
Phone number: 918-494-6528
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Mailing Address
-- LUSTER I. JACOBS MD
PO BOX 22063 DEPT 0491
TULSA, OK 74121-2063
Phone number: 405-751-4664
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