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1912373127
BAILEY SHOMO
DURANT, OK
NPI
1912373127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2555)
Enumeration Date
2015-08-11
Last Update Date
2015-08-11
Business Address
-- BAILEY SHOMO PTA
523 W MAIN ST
DURANT, OK 74701-5009
Phone number: 580-924-7700
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Mailing Address
-- BAILEY SHOMO PTA
812 N 11TH AVE
DURANT, OK 74701-3732
Phone number: 580-745-4440
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DURANT PHYSICAL THERAPY & AQUATIC CENTER