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1003384546
JOVAN PRIDE
OKLAHOMA CITY, OK
NPI
1003384546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 5279)
Enumeration Date
2018-11-02
Last Update Date
2018-11-14
Business Address
JOVAN PRIDE OT
5701 SE 74TH ST STE G
OKLAHOMA CITY, OK 73135-1104
Phone number: 405-610-1909
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Mailing Address
JOVAN PRIDE OT
14715 BRISTOL PARK BLVD
EDMOND, OK 73013-1894
Phone number: 405-840-1686
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