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1417178955
DENISE RAE MAYFIELD
BROKEN ARROW, OK
NPI
1417178955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK ta109)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mrs. DENISE RAE MAYFIELD rpta
3000 S ELM PL
BROKEN ARROW, OK 74012-7917
Phone number: 918-451-5143
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Mailing Address
Mrs. DENISE RAE MAYFIELD rpta
24206 E 116TH ST
BROKEN ARROW, OK 74014-7771
Phone number: 918-449-1356
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