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1114328135
EMILY MANTOOTH
EDMOND, OK
NPI
1114328135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 3328)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
-- EMILY MANTOOTH
301 S BOULEVARD
EDMOND, OK 73034-3878
Phone number: 405-285-6765
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Mailing Address
-- EMILY MANTOOTH
5908 NW 151ST ST
EDMOND, OK 73013-4186
Phone number:
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