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1013492974
TAMAMI IIDA
ADA, OK
NPI
1013492974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
TAMAMI IIDA
1100 E 14TH ST
ADA, OK 74820-6915
Phone number: 580-332-8000
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Mailing Address
TAMAMI IIDA
1100 E 14TH ST
ADA, OK 74820-6915
Phone number:
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