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1023466612
ALICIA ANN BREUER
OWASSO, OK
NPI
1023466612
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Professional Name
ALICIA ANN COOPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1355)
Enumeration Date
2016-05-25
Last Update Date
2016-05-25
Business Address
Ms. ALICIA ANN BREUER PTA
12899 E 76TH ST N
OWASSO, OK 74055-4021
Phone number: 918-272-1039
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Mailing Address
Ms. ALICIA ANN BREUER PTA
23601 S 433RD WEST AVE
DEPEW, OK 74028-2466
Phone number: 918-805-0480
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