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1790336410
CHANCE RYAN PERRY
BROKEN ARROW, OK
NPI
1790336410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3112)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
CHANCE RYAN PERRY PTA
2560 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-994-7864
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Mailing Address
CHANCE RYAN PERRY PTA
8205 PRESIDENTS DR
HUMMELSTOWN, PA 17036-8621
Phone number: 717-839-2188
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