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Individual

MARK ALLEN WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4621 US HIGHWAY 59, GROVE OK 74344, GROVE, OK 74344-4237
(918) 786-3797
(918) 786-7395
Mailing address
4621 US HIGHWAY 59, GROVE OK 74344, GROVE, OK 74344-4237
(918) 786-3797
(918) 786-7395

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
344
OK

Other

Enumeration date
07/16/2015
Last updated
07/16/2015
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