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1992549232
LISHA SUSAN JACOB
OKLAHOMA CITY, OK
NPI
1992549232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 0734R)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
Dr. LISHA SUSAN JACOB DO
900 NE 10TH ST
OKLAHOMA CITY, OK 73104-5420
Phone number: 405-271-9995
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Mailing Address
Dr. LISHA SUSAN JACOB DO
6745 NW 125TH CT
OKLAHOMA CITY, OK 73142-5193
Phone number: 214-714-4813
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