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1225136724
JENNIE LEIRD
OKLAHOMA CITY, OK
NPI
1225136724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1414)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- JENNIE LEIRD PTA
6500 N PORTLAND AVE
OKLAHOMA CITY, OK 73116-2035
Phone number: 405-879-9947
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Mailing Address
-- JENNIE LEIRD PTA
1001 NW 9TH ST
MOORE, OK 73160-1811
Phone number: 405-317-3317
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