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1649914938
JAKE BOONE
BETHANY, OK
NPI
1649914938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OK 7560)
Enumeration Date
2022-04-23
Last Update Date
2025-12-22
Business Address
JAKE BOONE
7221 NW 23RD ST UNIT C-D
BETHANY, OK 73008-5131
Phone number: 405-367-8147
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Mailing Address
JAKE BOONE
301 W KINGS RD
ADA, OK 74820-8219
Phone number:
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