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Individual

MRS. RACHEL ALICIA JASPERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
119 SOUTHWEST MAIN, KEOTA, OK 74941
(918) 966-3322
(918) 966-3319
Mailing address
PO BOX 542, KEOTA, OK 74941-0542
(918) 637-3243
(918) 966-3319

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4226
OK

Other

Enumeration date
01/11/2010
Last updated
01/11/2010
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