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1982465779
MELODIE D MOORE
OWASSO, OK
NPI
1982465779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3676)
Enumeration Date
2024-01-18
Last Update Date
2024-01-18
Business Address
MELODIE D MOORE PTAf
7738 N OWASSO EXPY
OWASSO, OK 74055-3338
Phone number: 918-928-4255
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Mailing Address
MELODIE D MOORE PTAf
7738 N OWASSO EXPY
OWASSO, OK 74055-3338
Phone number: 918-928-4255
Copy
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