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1184288599
TANYA FORT
TULSA, OK
NPI
1184288599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1946)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
TANYA FORT
4134 E 31ST ST
TULSA, OK 74135-1511
Phone number: 918-346-6617
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Mailing Address
TANYA FORT
4134 E 31ST ST
TULSA, OK 74135-1511
Phone number: 918-346-6617
Copy
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