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1952060626
JEREMY MOYA
TULSA, OK
NPI
1952060626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 200600)
Enumeration Date
2021-12-10
Last Update Date
2022-06-28
Business Address
JEREMY MOYA APRN-CNP
1123 S PITTSBURG AVE
TULSA, OK 74112-5103
Phone number: 918-516-8114
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Mailing Address
JEREMY MOYA APRN-CNP
1123 S PITTSBURG AVE
TULSA, OK 74112-5103
Phone number: 918-516-8114
Copy
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