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1689686164
JAN C GENTRY
TULSA, OK
NPI
1689686164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 1470)
Enumeration Date
2006-08-12
Last Update Date
2010-10-07
Business Address
Mr. JAN C GENTRY LCSW
9322 E 41ST ST RM 257
TULSA, OK 74145-3721
Phone number: 918-628-2708
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Mailing Address
Mr. JAN C GENTRY LCSW
9322 E 41ST RM 257
TULSA, OK 74145-6106
Phone number: 918-628-2708
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