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1871878868
BEVERLY K. FENTRESS
OKLAHOMA CITY, OK
NPI
1871878868
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Former Name
BEVERLY K. DICKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: OK 687)
Enumeration Date
2011-10-21
Last Update Date
2011-10-21
Business Address
Mrs. BEVERLY K. FENTRESS RPT
6112 WINCHESTER DR
OKLAHOMA CITY, OK 73162-1719
Phone number: 405-621-9378
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Mailing Address
Mrs. BEVERLY K. FENTRESS RPT
6112 WINCHESTER DR
OKLAHOMA CITY, OK 73162-1719
Phone number: 405-621-9378
Copy
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