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1154531903
LAURA B DAVIS
BROKEN ARROW, OK
NPI
1154531903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK ta251)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mrs. LAURA B DAVIS rpta
304 S SWEET GUM PL
BROKEN ARROW, OK 74012-4585
Phone number: 918-284-1727
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Mailing Address
Mrs. LAURA B DAVIS rpta
304 S SWEET GUM PL
BROKEN ARROW, OK 74012-4585
Phone number: 918-284-1727
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