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1417498684
MISTY MCMULLEN
OWASSO, OK
NPI
1417498684
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Other Name
MISTY ZALVIDAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1453)
Enumeration Date
2017-03-20
Last Update Date
2020-06-05
Business Address
MISTY MCMULLEN PTA
13720 E 86TH ST N
OWASSO, OK 74055-8704
Phone number: 918-609-8088
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Mailing Address
MISTY MCMULLEN PTA
6585 S YALE AVE STE 200
TULSA, OK 74136-8315
Phone number: 918-481-2767
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