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1780862946
KEVIN STEWART
CLINTON, OK
NPI
1780862946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1237)
Enumeration Date
2008-02-09
Last Update Date
2008-02-09
Business Address
Mr. KEVIN STEWART PTA
2316 W MODELLE AVE
CLINTON, OK 73601-3722
Phone number: 580-323-0912
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Mailing Address
Mr. KEVIN STEWART PTA
304 W LINCOLN
CORN, OK 73024-9605
Phone number: 580-744-0086
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