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1376653311
KEISHA FORT
DURANT, OK
NPI
1376653311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 3826)
Enumeration Date
2006-08-30
Last Update Date
2007-07-09
Business Address
-- KEISHA FORT RPT
1212 FOUR SEASONS DR
DURANT, OK 74701-2430
Phone number: 580-931-9218
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Mailing Address
-- KEISHA FORT RPT
PO BOX 831
MADILL, OK 73446-0831
Phone number: 580-795-3301
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