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1447849302
MECHELLE RENEE DODGION
TULSA, OK
NPI
1447849302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK TA250)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
MECHELLE RENEE DODGION PTA
6715 E 41ST ST
TULSA, OK 74145-4520
Phone number: 918-806-0106
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Mailing Address
MECHELLE RENEE DODGION PTA
12464 S 417TH WEST AVE
BRISTOW, OK 74010-8756
Phone number: 918-638-7211
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