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1851742589
JILLIAN RENAE PRATHER
OWASSO, OK
NPI
1851742589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 6852)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
Dr. JILLIAN RENAE PRATHER D.M.D.
12814 E 101ST PL N #101
OWASSO, OK 74055-4662
Phone number: 918-274-4466
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Mailing Address
Dr. JILLIAN RENAE PRATHER D.M.D.
12814 E 101ST PL N #101
OWASSO, OK 74055-4662
Phone number:
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