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1376119867
AMANDA LONGORIA
TULSA, OK
NPI
1376119867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 1783)
Enumeration Date
2021-06-03
Last Update Date
2021-06-11
Business Address
AMANDA LONGORIA OTR/L
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-2476
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Mailing Address
AMANDA LONGORIA OTR/L
12697 E 51ST ST
TULSA, OK 74146-6236
Phone number: 918-505-3200
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