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Individual

DR. JOHN ROBERT DE CLEENE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2475 BOARDWALK, NORMAN, OK 73069-6332
(405) 447-1991
(405) 447-1198
Mailing address
2475 BOARDWALK, NORMAN, OK 73069-6332
(405) 447-1991
(405) 447-1198

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5280
OK

Other

Enumeration date
10/20/2017
Last updated
03/17/2018
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