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1841568060
MY CHUONG TA
OKLAHOMA CITY, OK
NPI
1841568060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OK 3619)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
Ms. MY CHUONG TA BS, PT, MPT
3328 N CLASSEN BLVD
OKLAHOMA CITY, OK 73118-3428
Phone number: 405-524-5200
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Mailing Address
Ms. MY CHUONG TA BS, PT, MPT
1516 SW 122ND ST
OKLAHOMA CITY, OK 73170-4855
Phone number: 405-620-6413
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