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1790948792
BENJAMIN WAIN WORTH
TULSA, OK
NPI
1790948792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 4300)
Enumeration Date
2008-07-09
Last Update Date
2012-12-13
Business Address
-- BENJAMIN WAIN WORTH MPT
7666 E 61ST ST STE 340
TULSA, OK 74133-1148
Phone number: 918-250-3636
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Mailing Address
-- BENJAMIN WAIN WORTH MPT
14547 N LANTANA BLVD
SKIATOOK, OK 74070-3894
Phone number: 417-459-0406
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