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1841877255
KELBY DAWN KOONCE
MCALESTER, OK
NPI
1841877255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3233)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
KELBY DAWN KOONCE PTA
1400 E VANBUREN
MCALESTER, OK 74501
Phone number: 918-421-6600
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Mailing Address
KELBY DAWN KOONCE PTA
101 OKLAHOMA AVE
MCALESTER, OK 74501-7520
Phone number: 918-423-4900
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