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1538905161
CALEB MADDOCK
TULSA, OK
NPI
1538905161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 6339)
Enumeration Date
2024-07-03
Last Update Date
2024-07-03
Business Address
CALEB MADDOCK
6802 S OLYMPIA AVE
TULSA, OK 74132-1823
Phone number: 918-488-2280
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Mailing Address
CALEB MADDOCK
2158 S SANDUSKY AVE
TULSA, OK 74114-2134
Phone number: 479-684-6626
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