JARED WILLIAM BOURNE

SHAWNEE, OK
NPI1548694995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  4719)
Enumeration Date2013-08-21
Last Update Date2013-08-21
Business Address
-- JARED WILLIAM BOURNE PT
3315 KETHLEY RD
SHAWNEE, OK 74804-9638
Phone number: 405-273-5801
Mailing Address
-- JARED WILLIAM BOURNE PT
PO BOX 849
SHAWNEE, OK 74802-0849
Phone number: 405-273-5801
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