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1124731062
TALIA FORE
JENKS, OK
NPI
1124731062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3558)
Enumeration Date
2023-01-05
Last Update Date
2023-01-05
Business Address
TALIA FORE
3029 W MAIN ST
JENKS, OK 74037-3465
Phone number: 918-701-2300
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Mailing Address
TALIA FORE
13680 KENOSHA AVE
GLENPOOL, OK 74033-3829
Phone number: 918-639-9013
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