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1275643983
LISA HAZELWOOD
MCALESTER, OK
NPI
1275643983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- LISA HAZELWOOD
221 E COMANCHE AVE
MCALESTER, OK 74501-5845
Phone number: 918-423-1181
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Mailing Address
-- LISA HAZELWOOD
RR 6 BOX 239A
MCALESTER, OK 74501-9247
Phone number: 918-420-5845
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