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1174601363
WADE KENNEDY WILLIS
OWASSO, OK
NPI
1174601363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 3935)
Enumeration Date
2006-11-02
Last Update Date
2021-03-19
Business Address
Mr. WADE KENNEDY WILLIS PT
7738 N OWASSO EXPWY
OWASSO, OK 74055
Phone number: 918-928-4255
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Mailing Address
Mr. WADE KENNEDY WILLIS PT
7738 N OWASSO EXPWY
OWASSO, OK 74055
Phone number: 918-928-4255
Copy
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