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1073917167
LISA CARRASCO
TULSA, OK
NPI
1073917167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 865)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
-- LISA CARRASCO
5555 E 71ST ST SUITE 7120
TULSA, OK 74136-6542
Phone number: 918-367-6960
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Mailing Address
-- LISA CARRASCO
18491 N JAMESTOWN
SKIATOOK, OK 74070-4290
Phone number:
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