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1700629417
DAVID JACK RYAN
TULSA, OK
NPI
1700629417
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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
2024-06-18
Last Update Date
2024-06-18
Business Address
-- DAVID JACK RYAN
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-561-1131
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Mailing Address
-- DAVID JACK RYAN
11765 S CANTON AVE
TULSA, OK 74137-8403
Phone number: 918-863-7663
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