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1104030113
MARY KATHLEEN STALEY
TULSA, OK
NPI
1104030113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OK PT1080)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- MARY KATHLEEN STALEY P.T.
744 W 9TH ST REHAB MEDICINE DEPT (H205)
TULSA, OK 74127-9020
Phone number: 918-599-5190
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Mailing Address
-- MARY KATHLEEN STALEY P.T.
5117 E 25TH ST
TULSA, OK 74114-3721
Phone number: 918-742-5187
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