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1396099354
DONALD WALLER
MCALESTER, OK
NPI
1396099354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OK 555144)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
Mr. DONALD WALLER CMT
715 S 2ND ST
MCALESTER, OK 74501-5815
Phone number: 918-426-5897
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Mailing Address
Mr. DONALD WALLER CMT
715 S 2ND ST
MCALESTER, OK 74501-5815
Phone number: 918-426-5897
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