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1215265608
MICHELLE SANDRA SPROSS
LAWTON, OK
NPI
1215265608
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Former Name
MICHELLE SANDRA KOCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1140325)
Enumeration Date
2009-11-24
Last Update Date
2009-11-24
Business Address
-- MICHELLE SANDRA SPROSS P.T.
3614 NE WILLOW WAY
LAWTON, OK 73507-4200
Phone number: 512-656-7630
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Mailing Address
-- MICHELLE SANDRA SPROSS P.T.
3614 NE WILLOW WAY
LAWTON, OK 73507-4200
Phone number: 512-656-7630
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