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1316791452
BAILE LANE LOUDERBACK
TULSA, OK
NPI
1316791452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 6585)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2024-04-15
Last Update Date
2024-09-05
Business Address
BAILE LANE LOUDERBACK DPT
2488 E 81ST ST STE 290
TULSA, OK 74137-4299
Phone number: 918-927-3199
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Mailing Address
BAILE LANE LOUDERBACK DPT
2488 E 81ST ST STE 290
TULSA, OK 74137-4299
Phone number: 918-927-3199
Copy
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