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1578781357
KRISTY DAWN WOOTEN
TULSA, OK
NPI
1578781357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1176)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- KRISTY DAWN WOOTEN PTA
2154 S 85TH EAST AVE
TULSA, OK 74129-3012
Phone number: 918-622-4747
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Mailing Address
-- KRISTY DAWN WOOTEN PTA
634 N CUMMINGS AVE
BARTLESVILLE, OK 74006
Phone number: 918-876-4434
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