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1962161232
ETHAN MILLER
MCALESTER, OK
NPI
1962161232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3251)
Enumeration Date
2021-12-14
Last Update Date
2021-12-14
Business Address
ETHAN MILLER PTA
1 E CLARK BASS BLVD
MCALESTER, OK 74501-4209
Phone number: 918-426-1800
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Mailing Address
ETHAN MILLER PTA
1 E CLARK BASS BLVD
MCALESTER, OK 74501-4209
Phone number:
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