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1295112647
ASHONTAY OWENS
ALTUS, OK
NPI
1295112647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-05-05
Last Update Date
2015-05-05
Business Address
-- ASHONTAY OWENS
111 N HUDSON ST
ALTUS, OK 73521-3811
Phone number: 580-303-9541
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Mailing Address
-- ASHONTAY OWENS
590 FERN DR
ALTUS, OK 73521-7417
Phone number: 402-707-4094
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