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1295302271
STEPHANI RENAE LONG
TULSA, OK
NPI
1295302271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 5553)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
STEPHANI RENAE LONG OTR/L
6800 S GRANITE AVE
TULSA, OK 74136-7039
Phone number: 918-491-5200
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Mailing Address
STEPHANI RENAE LONG OTR/L
2905 W CANTON ST
BROKEN ARROW, OK 74012-0824
Phone number: 479-883-1120
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