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1376255315
BRIAN LEE HOSTETTER
OKLAHOMA CITY, OK
NPI
1376255315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 2784)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
Mr. BRIAN LEE HOSTETTER
2821 NW 50TH ST
OKLAHOMA CITY, OK 73112-8013
Phone number: 405-606-6886
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Mailing Address
Mr. BRIAN LEE HOSTETTER
6709 NW 12TH ST
OKLAHOMA CITY, OK 73127-4233
Phone number: 405-818-2545
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