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1043512064
TERESA JO MCILROY
BROKEN ARROW, OK
NPI
1043512064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT1361)
Enumeration Date
2010-11-23
Last Update Date
2010-11-23
Business Address
Mrs. TERESA JO MCILROY RPT
8937 S GARNETT RD
BROKEN ARROW, OK 74012-6004
Phone number: 918-615-3722
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Mailing Address
Mrs. TERESA JO MCILROY RPT
224 W DEER VALLEY DR
CATOOSA, OK 74015-2351
Phone number: 918-266-0427
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