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1174591069
MEGAN J MODDELMOG
TULSA, OK
NPI
1174591069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 3715)
Enumeration Date
2006-03-08
Last Update Date
2007-07-08
Business Address
-- MEGAN J MODDELMOG MSPT
8011 S SHERIDAN RD STE B
TULSA, OK 74133
Phone number: 918-481-3390
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Mailing Address
-- MEGAN J MODDELMOG MSPT
8011 S SHERIDAN RD STE B
TULSA, OK 74133
Phone number: 918-481-3390
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