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Joseph Acker

Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).

NPI number1902649205
StatusActive
Last updated in NPPESJun 14, 2024

Details

NPI
1902649205
Entity type
Individual (NPI-1)
Name
Joseph Acker
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2024
Certification date
Jun 14, 2024
Last updated
Jun 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Phone 918-899-5641

Mailing address

12713 S Date St
Jenks, OK 74037-3245

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