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1013507441
KATHREN GREEN
BROKEN ARROW, OK
NPI
1013507441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2622)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
KATHREN GREEN PTA
2221 W DETROIT ST
BROKEN ARROW, OK 74012-3628
Phone number: 918-615-6492
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Mailing Address
KATHREN GREEN PTA
2221 W DETROIT ST
BROKEN ARROW, OK 74012-3628
Phone number:
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