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1467219519
JAREN MOORMAN
PRYOR, OK
NPI
1467219519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2461)
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
JAREN MOORMAN PTA
1486 S ELLIOTT ST
PRYOR, OK 74361-8002
Phone number: 918-825-2333
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Mailing Address
JAREN MOORMAN PTA
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 181-262-8306
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