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1033709571
ANGELA RAE FUNKHOUSER
EDMOND, OK
NPI
1033709571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1998)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
Mrs. ANGELA RAE FUNKHOUSER COTA/L
1073 N BRYANT AVE STE 100
EDMOND, OK 73034-3261
Phone number: 405-513-8186
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Mailing Address
Mrs. ANGELA RAE FUNKHOUSER COTA/L
1073 N BRYANT AVE STE 100
EDMOND, OK 73034-3261
Phone number: 405-513-8186
Copy
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