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1285032300
MANDY DEGIACOMO
DURANT, OK
NPI
1285032300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1370)
Enumeration Date
2014-12-06
Last Update Date
2015-01-06
Business Address
-- MANDY DEGIACOMO COTA
523 W MAIN ST
DURANT, OK 74701-5009
Phone number: 580-924-7700
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Mailing Address
-- MANDY DEGIACOMO COTA
523 W MAIN ST
DURANT, OK 74701-5009
Phone number: 580-924-7700
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