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1629821988
JACOB THOMAS MCCLELLAN
LAWTON, OK
NPI
1629821988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OK TBD)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
JACOB THOMAS MCCLELLAN DO
3401 W GORE BLVD
LAWTON, OK 73505-6332
Phone number: 580-335-8620
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Mailing Address
JACOB THOMAS MCCLELLAN DO
3401 W GORE BLVD
LAWTON, OK 73505-6332
Phone number:
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