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1265107874
CHARLEE NUSSBAUM
TULSA, OK
NPI
1265107874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3453)
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
CHARLEE NUSSBAUM PTA
14002 E 21ST ST STE 650
TULSA, OK 74134-1425
Phone number: 405-355-3239
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Mailing Address
CHARLEE NUSSBAUM PTA
20740 E 45TH ST S
BROKEN ARROW, OK 74014-8741
Phone number: 918-207-9233
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