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1841301462
DANIEL ADAM THIES
GLENPOOL, OK
NPI
1841301462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: OK 11)
Enumeration Date
2006-08-31
Last Update Date
2019-08-22
Business Address
DANIEL ADAM THIES L.O., C.O.
480 E 141ST ST STE E
GLENPOOL, OK 74033-3550
Phone number: 918-518-5980
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Mailing Address
DANIEL ADAM THIES L.O., C.O.
480 E 141ST ST STE E
GLENPOOL, OK 74033-3550
Phone number: 918-518-5980
Copy