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1497290399
TISA WILLS
TULSA, OK
NPI
1497290399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2140)
Enumeration Date
2016-12-30
Last Update Date
2016-12-30
Business Address
-- TISA WILLS PTA
1224 S CANTON AVE
TULSA, OK 74112-5337
Phone number: 918-697-7011
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Mailing Address
-- TISA WILLS PTA
1224 S CANTON AVE
TULSA, OK 74112-5337
Phone number: 918-697-7011
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