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1619187200
KIRSTEN ANN WALLACE
OKLAHOMA CITY, OK
NPI
1619187200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT1940)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- KIRSTEN ANN WALLACE PT
5300 N INDEPENDENCE AVE SUITE 100
OKLAHOMA CITY, OK 73112-5556
Phone number: 405-945-4500
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Mailing Address
-- KIRSTEN ANN WALLACE PT
18305 ENGLISH OAK LN
EDMOND, OK 73003-4051
Phone number: 405-216-8731
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