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1902967698
SHAWN M SMITH
MOORE, OK
NPI
1902967698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT3210)
Enumeration Date
2006-12-13
Last Update Date
2018-05-22
Business Address
-- SHAWN M SMITH PT
1700 S BROADWAY ST STE B
MOORE, OK 73160-5300
Phone number: 405-735-8777
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Mailing Address
-- SHAWN M SMITH PT
336 NE 145TH PL
EDMOND, OK 73013-2152
Phone number: 405-286-4469
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