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1659815413
BROOKE ANNE POWELL
JENKS, OK
NPI
1659815413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2630)
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
-- BROOKE ANNE POWELL PTA
11706 S FOREST AVE
JENKS, OK 74037-5019
Phone number: 479-746-1695
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Mailing Address
-- BROOKE ANNE POWELL PTA
11706 S FOREST AVE
JENKS, OK 74037-5019
Phone number: 479-746-1695
Copy
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