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1316343155
HALEY EKSTROM
TULSA, OK
NPI
1316343155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2147)
Enumeration Date
2014-11-05
Last Update Date
2014-11-05
Business Address
-- HALEY EKSTROM PTA
1414 S DENVER AVE
TULSA, OK 74119-3423
Phone number: 918-712-7805
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Mailing Address
-- HALEY EKSTROM PTA
212 W CENTRAL AVE
MIAMI, OK 74354-6803
Phone number: 785-408-2390
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