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1891574299
CLARENCE JASON HARLESS
OWASSO, OK
NPI
1891574299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4995)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
CLARENCE JASON HARLESS PTA
9540 N GARNETT RD
OWASSO, OK 74055-4406
Phone number: 918-609-1300
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Mailing Address
CLARENCE JASON HARLESS PTA
9540 N GARNETT RD
OWASSO, OK 74055-4406
Phone number: 918-609-1300
Copy
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