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1902230048
CHARLES EDWARD RAY
TAHLEQUAH, OK
NPI
1902230048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2261)
Enumeration Date
2013-08-26
Last Update Date
2013-08-26
Business Address
MR. CHARLES EDWARD RAY P.T.A.
2021 MAHANEY AVE SUITE 6
TAHLEQUAH, OK 74464-5794
Phone number: 918-458-5115
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Mailing Address
MR. CHARLES EDWARD RAY P.T.A.
2021 MAHANEY AVE SUITE 6
TAHLEQUAH, OK 74464-5794
Phone number: 918-458-5115
Copy
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