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1174189914
KYLIE BETH SHANNON
OWASSO, OK
NPI
1174189914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 5659)
Enumeration Date
2019-05-16
Last Update Date
2020-09-30
Business Address
KYLIE BETH SHANNON DPT
13720 E 86TH ST N STE 140
OWASSO, OK 74055-8738
Phone number: 918-609-8088
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Mailing Address
KYLIE BETH SHANNON DPT
2488 E 81ST ST STE 290
TULSA, OK 74137-4265
Phone number: 918-927-3226
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