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1982591905
JACOB HORTON
TULSA, OK
NPI
1982591905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-06-23
Last Update Date
2025-06-23
Business Address
Mr. JACOB HORTON
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
Mr. JACOB HORTON
4226 S 181ST EAST AVE
TULSA, OK 74134-7452
Phone number: 214-704-2902
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