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1851359947
MICHAEL JEROME ITEN
TULSA, OK
NPI
1851359947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2274)
Enumeration Date
2006-05-01
Last Update Date
2024-05-03
Business Address
Mr. MICHAEL JEROME ITEN P.A.
6160 S YALE AVE
TULSA, OK 74136-1930
Phone number: 918-495-2600
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Mailing Address
Mr. MICHAEL JEROME ITEN P.A.
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number: 888-247-0125
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