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1245451640
MICHELLE THERESE MACKIN
TULSA, OK
NPI
1245451640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT2382)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE THERESE MACKIN RPT
1514 E 67TH CT
TULSA, OK 74136-3815
Phone number: 918-521-4273
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Mailing Address
Ms. MICHELLE THERESE MACKIN RPT
1514 E 67TH CT
TULSA, OK 74136-3815
Phone number: 918-521-4273
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