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1285146167
HALEY BROOKE ELLISON
OKLAHOMA CITY, OK
NPI
1285146167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1736)
Enumeration Date
2017-10-31
Last Update Date
2017-10-31
Business Address
HALEY BROOKE ELLISON COTA/L
5301 N BROOKLINE AVE
OKLAHOMA CITY, OK 73112-3516
Phone number: 405-601-7874
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Mailing Address
HALEY BROOKE ELLISON COTA/L
12601 QUARTZ PL
OKLAHOMA CITY, OK 73170-5467
Phone number: 405-922-5998
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