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1891939716
KEITH JAMES FUKSA
ENID, OK
NPI
1891939716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 3116)
Enumeration Date
2009-04-22
Last Update Date
2009-04-22
Business Address
-- KEITH JAMES FUKSA P.T.
723 W RANDOLPH AVE SUITE 1
ENID, OK 73701-3826
Phone number: 580-234-1115
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Mailing Address
-- KEITH JAMES FUKSA P.T.
723 W RANDOLPH AVE SUITE 1
ENID, OK 73701-3826
Phone number: 580-234-1115
Copy
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