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1790378024
TIFFANY THOMPSON
TAHLEQUAH, OK
NPI
1790378024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3213)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
TIFFANY THOMPSON
19600 E ROSS ST
TAHLEQUAH, OK 74464-0545
Phone number: 539-234-1000
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Mailing Address
TIFFANY THOMPSON
15759 N BRYANT RD
TAHLEQUAH, OK 74464-1101
Phone number:
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