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1104039437
GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC
TULSA, OK
NPI
1104039437
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Entity Type
Organization
Authorized Contact
SRIKANTH K REDDY
Presedent
918-459-9500
Organization Subpart ?
No
Primary Taxonomy
2081H0002X
(Licence: OK 20733)
Enumeration Date
2007-05-07
Last Update Date
2007-11-06
Business Address
GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC
8803 S 101ST EAST AVE SUITE#290
TULSA, OK 74133-5726
Phone number: 918-459-9500
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Mailing Address
GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC
8803 S 101ST EAST AVE SUITE#290
TULSA, OK 74133-5726
Phone number: 918-459-9500
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