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Individual

MRS. SUSAN JEANNE LEDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
1212 S AIR DEPOT BLVD, SUITE 33, MIDWEST CITY, OK 73110-4870
(405) 733-3133
(405) 869-7165
Mailing address
PO BOX 30467, MIDWEST CITY, OK 73140-3467
(405) 733-3133
(405) 869-7165

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2483
OK

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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