LOREN WAYNE BENGTSON

VINITA, OK
NPI1447496278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  956)
Enumeration Date2008-12-29
Last Update Date2008-12-29
Business Address
-- LOREN WAYNE BENGTSON pta
20355 S 4450 RD
VINITA, OK 74301-5703
Phone number: 918-256-8453
Mailing Address
-- LOREN WAYNE BENGTSON pta
20355 S 4450 RD
VINITA, OK 74301-5703
Phone number: 918-256-8453
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