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1104241488
JACQUELINE GORDON
OKLAHOMA CITY, OK
NPI
1104241488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1057)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- JACQUELINE GORDON PTA
6400 N SANTA FE AVE STE B
OKLAHOMA CITY, OK 73116-9126
Phone number: 405-840-2903
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Mailing Address
-- JACQUELINE GORDON PTA
1501 REDMAN DR
NEWCASTLE, OK 73065-5635
Phone number: 405-361-9609
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