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1922218759
MELISSA JEAN DAVIS
BROKEN ARROW, OK
NPI
1922218759
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Former Name
MELISSA JEAN LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 2919)
Enumeration Date
2007-05-23
Last Update Date
2023-02-13
Business Address
MELISSA JEAN DAVIS PT
825 E KENOSHA ST
BROKEN ARROW, OK 74012-2044
Phone number: 918-252-0513
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Mailing Address
MELISSA JEAN DAVIS PT
4808 S 109TH EAST AVE
TULSA, OK 74146-5822
Phone number: 918-712-1182
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