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1003019167
MICHAEL RAYMOND CHILDRESS
TULSA, OK
NPI
1003019167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 770)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
-- MICHAEL RAYMOND CHILDRESS RPTA
2408 E 81ST ST STE 300
TULSA, OK 74137-4200
Phone number: 918-477-5053
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Mailing Address
-- MICHAEL RAYMOND CHILDRESS RPTA
2408 E 81ST ST STE 300
TULSA, OK 74137-4200
Phone number: 918-477-5053
Copy
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