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1821822859
JACOB SCOTT GESTLAND
TULSA, OK
NPI
1821822859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
JACOB SCOTT GESTLAND
4103 S YALE AVE STE C
TULSA, OK 74135-6002
Phone number: 918-465-4110
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Mailing Address
JACOB SCOTT GESTLAND
4103 S YALE AVE STE C
TULSA, OK 74135-6002
Phone number: 918-465-4110
Copy
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