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1114130861
KIM ANNE HASLETT
BROKEN ARROW, OK
NPI
1114130861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK ta 591)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- KIM ANNE HASLETT pta
3000 SOUTH ELM PLACE
BROKEN ARROW, OK 74012
Phone number: 918-451-5143
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Mailing Address
-- KIM ANNE HASLETT pta
11664 SOUTH 252 EAST AVE
BROKEN ARROW, OK 74014
Phone number: 918-486-5821
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