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1447596358
JACQUELYN DOVE PAYNE
BROKEN ARROW, OK
NPI
1447596358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 417)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
-- JACQUELYN DOVE PAYNE PTA
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number: 918-307-0233
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Mailing Address
-- JACQUELYN DOVE PAYNE PTA
4049 E 23RD ST
TULSA, OK 74114-3431
Phone number: 918-510-1270
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