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1326266123
SHANNON ASHLEY NEWBERRY
TULSA, OK
NPI
1326266123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 391)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- SHANNON ASHLEY NEWBERRY COTA
6202 E 61ST ST
TULSA, OK 74136-2119
Phone number: 918-477-7171
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Mailing Address
-- SHANNON ASHLEY NEWBERRY COTA
PO BOX 831
MADILL, OK 73446-0831
Phone number: 580-795-3301
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