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1093448656
JESSICA MARIE WHITE
BROKEN ARROW, OK
NPI
1093448656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1817)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
JESSICA MARIE WHITE PTA
701 S MAIN ST
BROKEN ARROW, OK 74012-5528
Phone number: 918-259-5700
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Mailing Address
JESSICA MARIE WHITE PTA
701 S MAIN ST
BROKEN ARROW, OK 74012-5528
Phone number: 918-259-5700
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