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1023723137
MIKAYLA JAMESON
TAHLEQUAH, OK
NPI
1023723137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2354)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
MIKAYLA JAMESON
19600 E ROSS ST
TAHLEQUAH, OK 74464-0545
Phone number: 539-234-1900
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Mailing Address
MIKAYLA JAMESON
26429 S 460 RD
TAHLEQUAH, OK 74464-1369
Phone number: 918-931-0175
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