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1205421351
PAMELA DIANN FRIEND
TAHLEQUAH, OK
NPI
1205421351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1442)
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
PAMELA DIANN FRIEND
1510 N GRAND AVE
TAHLEQUAH, OK 74464-6318
Phone number: 918-708-2119
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Mailing Address
PAMELA DIANN FRIEND
100555 S 4466 RD
GORE, OK 74435-5048
Phone number: 479-225-6265
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