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1740660158
JACOB STEWART NEWBY
TULSA, OK
NPI
1740660158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 553)
Enumeration Date
2015-06-02
Last Update Date
2020-06-05
Business Address
JACOB STEWART NEWBY AT
6475 S YALE AVE STE 301
TULSA, OK 74136-7815
Phone number: 918-494-9341
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Mailing Address
JACOB STEWART NEWBY AT
2488 E 81ST ST STE 290
TULSA, OK 74137-4265
Phone number: 918-494-9341
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