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1992185607
CHRYSTAL DETRING
BROKEN ARROW, OK
NPI
1992185607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-06-08
Last Update Date
2015-06-08
Business Address
-- CHRYSTAL DETRING
3341 S ELM PL
BROKEN ARROW, OK 74012-7924
Phone number: 918-449-1332
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Mailing Address
-- CHRYSTAL DETRING
3341 S ELM PL
BROKEN ARROW, OK 74012-7924
Phone number: 918-449-1332
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