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1740355460
JERI CLARK GOEN
TULSA, OK
NPI
1740355460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 408)
Enumeration Date
2006-11-21
Last Update Date
2020-03-25
Business Address
-- JERI CLARK GOEN PA - C
3807 S PEORIA AVE SUITE G AND H
TULSA, OK 74105-3145
Phone number: 918-359-7845
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Mailing Address
-- JERI CLARK GOEN PA - C
1612 S COLLEGE AVE
TULSA, OK 74104-5233
Phone number: 918-902-0434
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