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1679769947
MATTHEW JOHN BLACK
TULSA, OK
NPI
1679769947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 4036)
Enumeration Date
2007-09-20
Last Update Date
2008-06-30
Business Address
Mr. MATTHEW JOHN BLACK MPT
4004 S YALE AVE
TULSA, OK 74135-6017
Phone number: 918-622-4126
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Mailing Address
Mr. MATTHEW JOHN BLACK MPT
201 N 4TH ST
WEATHERFORD, OK 73096-4636
Phone number:
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