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1730554031
JAY L KROTTINGER
TULSA, OK
NPI
1730554031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date
2015-12-11
Last Update Date
2018-11-05
Business Address
JAY L KROTTINGER
22 S LEWIS AVE
TULSA, OK 74104-1615
Phone number: 918-770-9333
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Mailing Address
JAY L KROTTINGER
PO BOX 1430 LOCKBOX #5120
JENKS, OK 74037-1430
Phone number: 918-770-9333
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