LACY CLEVENGER

OWASSO, OK
NPI1356936629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  2230)
Enumeration Date2021-03-08
Last Update Date2021-07-22
Business Address
LACY CLEVENGER
12326 E 86TH ST N
OWASSO, OK 74055-2543
Phone number: 918-272-1923
Mailing Address
LACY CLEVENGER
14700 E 88TH PL N APT 906
OWASSO, OK 74055-4932
Phone number:
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