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1275716318
CANDICE NICHOLE ERTMAN
DURANT, OK
NPI
1275716318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1622)
Enumeration Date
2007-12-12
Last Update Date
2007-12-12
Business Address
-- CANDICE NICHOLE ERTMAN
1100 OAKRIDGE DR
DURANT, OK 74701-2620
Phone number: 580-795-3301
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Mailing Address
-- CANDICE NICHOLE ERTMAN
PO BOX 831
MADILL, OK 73446-0831
Phone number: 580-795-3301
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