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1811959026
JIMMIE MACK SHORT
TULSA, OK
NPI
1811959026
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Professional Name
JAMES MACK SHORT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK D01150)
Enumeration Date
2006-04-04
Last Update Date
2007-07-08
Business Address
Dr. JIMMIE MACK SHORT DO
8523 E 11TH ST STE A
TULSA, OK 74112
Phone number: 918-835-6466
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Mailing Address
Dr. JIMMIE MACK SHORT DO
8523 E 11TH ST STE A
TULSA, OK 74112
Phone number: 918-835-6466
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