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1609545417
TRYSTIEN JORDAN CHARLES
TULSA, OK
NPI
1609545417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT015422)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
Dr. TRYSTIEN JORDAN CHARLES DPT
119 E 4TH ST
TULSA, OK 74103-5002
Phone number: 773-350-5371
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Mailing Address
Dr. TRYSTIEN JORDAN CHARLES DPT
3100 OLYMPUS BLVD. SUITE 500
DALLAS, TX 75019
Phone number: 877-456-2867
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