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1184215774
ALICIA WHITE
MUSKOGEE, OK
NPI
1184215774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OK 1580)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
ALICIA WHITE PTA
2244 E SHAWNEE RD
MUSKOGEE, OK 74403-1443
Phone number: 918-684-9999
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Mailing Address
ALICIA WHITE PTA
2244 E SHAWNEE RD
MUSKOGEE, OK 74403-1443
Phone number: 918-684-9999
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