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1750503850
JAN SHARPLESS GOODHUE
TULSA, OK
NPI
1750503850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK TA490)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mrs. JAN SHARPLESS GOODHUE PTA
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-1471
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Mailing Address
Mrs. JAN SHARPLESS GOODHUE PTA
24355 S LINDLEY DR
CLAREMORE, OK 74019-0281
Phone number: 918-341-4407
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