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1518728807
AUDRA LOUISE GREEN
OKLAHOMA CITY, OK
NPI
1518728807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OK 2369)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
AUDRA LOUISE GREEN PTA
5915 W MEMORIAL RD STE 210
OKLAHOMA CITY, OK 73142-2022
Phone number: 405-773-6601
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Mailing Address
AUDRA LOUISE GREEN PTA
5915 W MEMORIAL RD STE 210
OKLAHOMA CITY, OK 73142-2022
Phone number: 405-773-6601
Copy
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