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1023625050
SHELBY LYNN RAYMOND
ALTUS, OK
NPI
1023625050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1532)
Enumeration Date
2020-09-24
Last Update Date
2023-11-21
Business Address
SHELBY LYNN RAYMOND OTA
1200 E PECAN ST
ALTUS, OK 73521-6192
Phone number: 580-379-5830
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Mailing Address
SHELBY LYNN RAYMOND OTA
1200 E PECAN ST
ALTUS, OK 73521-6192
Phone number: 580-379-5830
Copy
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