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1841873692
SHADERA WIGINTON
NORMAN, OK
NPI
1841873692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1417)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
Mrs. SHADERA WIGINTON PTA
3801 24TH AVE SE APT 12
NORMAN, OK 73071-0800
Phone number: 405-596-7148
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Mailing Address
Mrs. SHADERA WIGINTON PTA
3801 24TH AVE SE APT 12
NORMAN, OK 73071-0800
Phone number: 405-596-7148
Copy
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