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1023607033
STEPHANIE SPENCER
TULSA, OK
NPI
1023607033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2168)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
STEPHANIE SPENCER COTA/L
6715 E 41ST ST
TULSA, OK 74145-4520
Phone number: 513-226-9176
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Mailing Address
STEPHANIE SPENCER COTA/L
7751 S MEMORIAL DR APT 5208
TULSA, OK 74133-3634
Phone number: 513-226-9176
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