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1629800172
NICOLE R WADE
EDMOND, OK
NPI
1629800172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3740)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
NICOLE R WADE PTA
1505 RENAISSANCE BLVD
EDMOND, OK 73013-3018
Phone number: 405-850-8497
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Mailing Address
NICOLE R WADE PTA
1505 RENAISSANCE BLVD
EDMOND, OK 73013-3018
Phone number:
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