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1851043947
JACOB TAFT MALONE
TULSA, OK
NPI
1851043947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: OK R0109525)
Enumeration Date
2022-01-20
Last Update Date
2022-12-01
Business Address
MR. JACOB TAFT MALONE APRN-CNP
6151 S YALE AVE STE 100A
TULSA, OK 74136-1929
Phone number: 918-494-8500
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Mailing Address
MR. JACOB TAFT MALONE APRN-CNP
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number: 918-499-4855
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