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1780648147
BRIAN LEE COLEY
TULSA, OK
NPI
1780648147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OK AT94)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
BRIAN LEE COLEY ATC/LAT
3905 S HUDSON AVE
TULSA, OK 74135-5607
Phone number: 918-627-3390
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Mailing Address
BRIAN LEE COLEY ATC/LAT
3905 S HUDSON AVE
TULSA, OK 74135-5607
Phone number: 918-627-3390
Copy
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