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1154907350
KRYSTAL POTTER
TULSA, OK
NPI
1154907350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3256)
Enumeration Date
2021-03-19
Last Update Date
2021-03-19
Business Address
KRYSTAL POTTER PTA
4008 S YALE AVE
TULSA, OK 74135-6017
Phone number: 918-622-4278
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Mailing Address
KRYSTAL POTTER PTA
PO BOX 721018
NORMAN, OK 73070-4786
Phone number: 918-270-1378
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