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1528101797
SHELLEY KAY LANE
BROKEN ARROW, OK
NPI
1528101797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 1484)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- SHELLEY KAY LANE PT
4009 W NASHVILLE ST
BROKEN ARROW, OK 74012-4738
Phone number: 918-252-2918
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Mailing Address
-- SHELLEY KAY LANE PT
4009 W NASHVILLE ST
BROKEN ARROW, OK 74012-4738
Phone number:
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