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1225201221
ROBERT DISTEFANO
EDMOND, OK
NPI
1225201221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT1535)
Enumeration Date
2008-04-10
Last Update Date
2008-04-10
Business Address
Mr. ROBERT DISTEFANO PT
1717 W 33RD ST
EDMOND, OK 73013-3819
Phone number: 405-330-3500
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Mailing Address
Mr. ROBERT DISTEFANO PT
1717 W 33RD ST
EDMOND, OK 73013-3819
Phone number: 405-330-3500
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