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1104943547
JOHN MARK HEUSMAN
OKLAHOMA CITY, OK
NPI
1104943547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OK AT-82)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
MR. JOHN MARK HEUSMAN MS, LAT, ATC, CSCS
6201 N SANTA FE AVE
OKLAHOMA CITY, OK 73118-7538
Phone number: 405-272-5478
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Mailing Address
MR. JOHN MARK HEUSMAN MS, LAT, ATC, CSCS
8320 NW 111TH TER
OKLAHOMA CITY, OK 73162-2100
Phone number: 405-818-7910
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