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1699843342
JESSE LEE GOODMAN
LAWTON, OK
NPI
1699843342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2244)
Enumeration Date
2006-12-01
Last Update Date
2013-04-16
Business Address
MR. JESSE LEE GOODMAN PA-C
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5100
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Mailing Address
MR. JESSE LEE GOODMAN PA-C
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5100
Copy
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