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1700497823
MICHAEL MCCOY
BROKEN ARROW, OK
NPI
1700497823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3106)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
MICHAEL MCCOY PTA
1709 S MAIN ST
BROKEN ARROW, OK 74012-6502
Phone number: 918-557-4499
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Mailing Address
MICHAEL MCCOY PTA
1709 S MAIN ST
BROKEN ARROW, OK 74012-6502
Phone number:
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