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1649538414
KATIE ELIZABETH JACKSON
TULSA, OK
NPI
1649538414
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Former Name
KATIE ELIZABETH ATNIP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 30652)
Enumeration Date
2012-04-30
Last Update Date
2018-03-17
Business Address
-- KATIE ELIZABETH JACKSON MD
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-2200
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Mailing Address
-- KATIE ELIZABETH JACKSON MD
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number:
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