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Individual

PHYLLIS MARJANN ROSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
111 S YORK ST, MUSKOGEE, OK 74403-5952
(918) 682-6202
Mailing address
2504 ELMIRA ST, MUSKOGEE, OK 74403-3817
(918) 869-9301

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TA922
OK

Other

Enumeration date
05/11/2020
Last updated
05/11/2020
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