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Individual

DUSTIN STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
Mailing address
5854 NW 121ST RD, WILBURTON, OK 74578-6654

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3940
OK

Other

Enumeration date
07/04/2025
Last updated
07/04/2025
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