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1184173460
DEREK THAYER
NORMAN, OK
NPI
1184173460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2008)
Enumeration Date
2016-09-27
Last Update Date
2016-09-27
Business Address
-- DEREK THAYER PTA
724 24TH AVE NW
NORMAN, OK 73069-6218
Phone number: 405-447-1571
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Mailing Address
-- DEREK THAYER PTA
724 24TH AVE NW
NORMAN, OK 73069-6218
Phone number:
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