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1528736667
HOLLY GOFORTH
TULSA, OK
NPI
1528736667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2528)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
HOLLY GOFORTH
8652 S PEORIA AVE
TULSA, OK 74132-2827
Phone number: 915-409-0157
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Mailing Address
HOLLY GOFORTH
425 N ROSS ST
SAPULPA, OK 74066-3659
Phone number:
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