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1740509637
JESSE K MCMASTERS
LAWTON, OK
NPI
1740509637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1777)
Enumeration Date
2010-05-18
Last Update Date
2010-05-18
Business Address
-- JESSE K MCMASTERS P.T.A.
602 SE WALLOCK ST
LAWTON, OK 73501-5403
Phone number: 580-585-5577
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Mailing Address
-- JESSE K MCMASTERS P.T.A.
2510 NW 52ND ST APARTMENT FR101
LAWTON, OK 73505-2014
Phone number: 580-585-0873
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