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1043809130
LATARA EASTON BLANKENSHIP
SHAWNEE, OK
NPI
1043809130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2224)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
LATARA EASTON BLANKENSHIP
3903 N HARRISON ST
SHAWNEE, OK 74804-1426
Phone number: 405-585-2971
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Mailing Address
LATARA EASTON BLANKENSHIP
1205 N MARKET AVE
SHAWNEE, OK 74801-4923
Phone number: 580-791-1005
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