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1902572274
LEISHA RAE FOWLER
TULSA, OK
NPI
1902572274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3444)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
LEISHA RAE FOWLER PTA
3345 S HARVARD AVE STE 301
TULSA, OK 74135-1815
Phone number: 918-574-2575
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Mailing Address
LEISHA RAE FOWLER PTA
3345 S HARVARD AVE STE 301
TULSA, OK 74135-1815
Phone number: 318-574-2575
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