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1831358886
JUSTIN TEDESCO
CLAREMORE, OK
NPI
1831358886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 0117406)
Enumeration Date
2008-06-05
Last Update Date
2017-12-05
Business Address
JUSTIN TEDESCO RN
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-342-0770
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Mailing Address
JUSTIN TEDESCO RN
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-342-0770
Copy
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