JEFFREY LANE BLACK

TULSA, OK
NPI1700957990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: OK  16468)
Enumeration Date2006-11-11
Last Update Date2010-04-13
Business Address
-- JEFFREY LANE BLACK
1717 S UTICA AVE STE A
TULSA, OK 74104-5346
Phone number: 918-748-7557
Mailing Address
-- JEFFREY LANE BLACK
1515 N HARVARD AVE STE E
TULSA, OK 74115-4957
Phone number: 918-832-6049
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