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1770134207
JORDAN WAYNE EIPP
TULSA, OK
NPI
1770134207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 4539)
Enumeration Date
2019-09-25
Last Update Date
2021-02-22
Business Address
JORDAN WAYNE EIPP PA-C
4912 S DETROIT AVE
TULSA, OK 74105-4610
Phone number: 918-346-7878
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Mailing Address
JORDAN WAYNE EIPP PA-C
4912 S DETROIT AVE
TULSA, OK 74105-4610
Phone number: 918-346-7878
Copy
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