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1376730077
SUSAN DIANE BISHOP
EDMOND, OK
NPI
1376730077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Additional Taxonomies
226300000X Kinesiotherapist
Enumeration Date
2007-09-27
Last Update Date
2007-09-27
Business Address
Ms. SUSAN DIANE BISHOP MSTRS/CKT
2835 BOBWHITE TRL
EDMOND, OK 73025-2305
Phone number: 405-623-4017
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Mailing Address
Ms. SUSAN DIANE BISHOP MSTRS/CKT
2835 BOBWHITE TRL
EDMOND, OK 73025-2305
Phone number: 405-623-4017
Copy
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