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1609109420
JACK FRIEND
MUSKOGEE, OK
NPI
1609109420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1826)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
-- JACK FRIEND PTA
3308 W OKMULGEE ST
MUSKOGEE, OK 74401-5069
Phone number: 918-683-7731
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Mailing Address
-- JACK FRIEND PTA
3308 W OKMULGEE ST
MUSKOGEE, OK 74401-5069
Phone number: 918-683-7731
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