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1972840486
JODIE STUCKEY
BROKEN ARROW, OK
NPI
1972840486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK ta586)
Enumeration Date
2013-01-04
Last Update Date
2013-01-04
Business Address
-- JODIE STUCKEY
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number: 918-250-8475
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Mailing Address
-- JODIE STUCKEY
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number:
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