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1093498776
LESLIE CATHERINE FUENTES
OKLAHOMA CITY, OK
NPI
1093498776
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Former Name
LESLIE KELLOGG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2163)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
LESLIE CATHERINE FUENTES PTA
7707 W BRITTON RD
OKLAHOMA CITY, OK 73132-1512
Phone number: 405-720-7200
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Mailing Address
LESLIE CATHERINE FUENTES PTA
2652 COLES CREEK LN
YUKON, OK 73099-2360
Phone number: 405-431-9347
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