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1922621291
JAMES IVERSON
LAWTON, OK
NPI
1922621291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 4478)
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
JAMES IVERSON
6921 W GORE BLVD APT 601
LAWTON, OK 73505-5369
Phone number: 580-284-3770
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Mailing Address
JAMES IVERSON
PO BOX 7846
LAWTON, OK 73506-1846
Phone number: 580-280-3770
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