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1013027275
PATRICIA PACK
MUSKOGEE, OK
NPI
1013027275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
(Licence: OK 425)
Enumeration Date
2006-08-30
Last Update Date
2007-07-09
Business Address
Ms. PATRICIA PACK PT
1111 N 36TH ST
MUSKOGEE, OK 74401-1809
Phone number: 918-683-4621
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Mailing Address
Ms. PATRICIA PACK PT
HC 60 BOX 205
CHECOTAH, OK 74426-9408
Phone number: 918-473-8249
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