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1023500394
TATUM TENEKE AITSON
OKLAHOMA CITY, OK
NPI
1023500394
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Former Name
TATUM TENEKE REAGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OK 2017)
Enumeration Date
2018-06-03
Last Update Date
2018-06-03
Business Address
Mrs. TATUM TENEKE AITSON PTA
3030 NW EXPRESSWAY STE 809
OKLAHOMA CITY, OK 73112-5466
Phone number: 405-655-5636
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Mailing Address
Mrs. TATUM TENEKE AITSON PTA
1312 NOEL DR
YUKON, OK 73099-7017
Phone number: 405-425-9528
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