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1023724846
LARSON BRINKER
TULSA, OK
NPI
1023724846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2457)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
LARSON BRINKER COTAL
3312 S PEORIA AVE
TULSA, OK 74105-2029
Phone number: 918-400-0089
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Mailing Address
LARSON BRINKER COTAL
PO BOX 438
GLENPOOL, OK 74033-0438
Phone number: 918-720-6809
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