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1669198149
JANTZEN JOSEF FAULKNER
TULSA, OK
NPI
1669198149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
Mr. JANTZEN JOSEF FAULKNER
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
Mr. JANTZEN JOSEF FAULKNER
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
Copy
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