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1396408944
GALE EDWARD HORN
TAHLEQUAH, OK
NPI
1396408944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2361)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
GALE EDWARD HORN OTA
3475 SOUTHRIDGE PL APT 9
TAHLEQUAH, OK 74464-7913
Phone number: 918-316-5429
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Mailing Address
GALE EDWARD HORN OTA
3475 SOUTHRIDGE PL APT 9
TAHLEQUAH, OK 74464-7913
Phone number: 918-316-5429
Copy
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