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1134341829
ALESHA JOY LANDIS
EDMOND, OK
NPI
1134341829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 081361617)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Miss ALESHA JOY LANDIS
1800 RENAISSANCE BLVD SECOND FLOOR
EDMOND, OK 73013-3023
Phone number: 405-359-2472
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Mailing Address
Miss ALESHA JOY LANDIS
928 ROYAL WAY
EDMOND, OK 73034-5515
Phone number: 405-249-0907
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