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1083159727
TIMOTHY JAMES NICHOLS
TULSA, OK
NPI
1083159727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 778)
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
-- TIMOTHY JAMES NICHOLS
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 619-997-1568
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Mailing Address
-- TIMOTHY JAMES NICHOLS
1733 S XANTHUS AVE
TULSA, OK 74104-5323
Phone number: 619-997-1568
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