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1609289925
MICHAEL DETTER
TULSA, OK
NPI
1609289925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 4824)
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
-- MICHAEL DETTER DPT
4812 E 33RD ST
TULSA, OK 74135-2038
Phone number: 918-622-4126
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Mailing Address
-- MICHAEL DETTER DPT
4812 E 33RD ST
TULSA, OK 74135-2038
Phone number: 918-622-4126
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