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1639912595
JACK SUNTKEN
TULSA, OK
NPI
1639912595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
JACK SUNTKEN
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-584-4611
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Mailing Address
JACK SUNTKEN
2893 W 112TH ST S
JENKS, OK 74037
Phone number:
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