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1316534431
KELLY FOSSARD
TULSA, OK
NPI
1316534431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 5474)
Enumeration Date
2020-12-22
Last Update Date
2020-12-27
Business Address
KELLY FOSSARD DPT
7401 RIVERSIDE PKWY
TULSA, OK 74136-5044
Phone number: 918-417-1906
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Mailing Address
KELLY FOSSARD DPT
800 E ALBUQUERQUE ST
BROKEN ARROW, OK 74011-7245
Phone number:
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