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1104667856
JESSICA WILSON
MUSKOGEE, OK
NPI
1104667856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
JESSICA WILSON PTA
2244 E SHAWNEE RD
MUSKOGEE, OK 74403
Phone number: 918-684-9999
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Mailing Address
JESSICA WILSON PTA
2244 E SHAWNEE RD
MUSKOGEE, OK 74403
Phone number: 918-684-9999
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