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1376261974
JUSTIN WILLIAM THOMPSON
LAWTON, OK
NPI
1376261974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 4060)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
JUSTIN WILLIAM THOMPSON
1700 NW FORT SILL BLVD
LAWTON, OK 73507-4064
Phone number: 580-465-1829
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Mailing Address
JUSTIN WILLIAM THOMPSON
1913 QUAIL RD
MARLOW, OK 73055-9785
Phone number: 580-465-1829
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