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1679317028
JORDAN ANTONIO VALENZUELA
TULSA, OK
NPI
1679317028
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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
2024-06-20
Last Update Date
2024-06-20
Business Address
Mr. JORDAN ANTONIO VALENZUELA
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
Mr. JORDAN ANTONIO VALENZUELA
2537 S HARVARD PL UNIT 15D
TULSA, OK 74114-4636
Phone number: 580-791-2904
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