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1770964298
PHILIP WAYNE GRIDER
NEWCASTLE, OK
NPI
1770964298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 4983)
Enumeration Date
2015-06-10
Last Update Date
2015-06-10
Business Address
-- PHILIP WAYNE GRIDER
3699 NW 32ND ST
NEWCASTLE, OK 73065-6559
Phone number: 405-387-5520
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Mailing Address
-- PHILIP WAYNE GRIDER
3699 NW 32ND ST
NEWCASTLE, OK 73065-6559
Phone number: 405-387-5520
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