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1972757136
STORMY R DEATON
GROVE, OK
NPI
1972757136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 1642)
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
-- STORMY R DEATON
62531 E 252 RD
GROVE, OK 74344-7462
Phone number: 918-961-8067
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Mailing Address
-- STORMY R DEATON
62531 E 252 RD
GROVE, OK 74344-7462
Phone number: 918-961-8067
Copy
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