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1396481081
CATHERINE GRACE JEZEK
BROKEN ARROW, OK
NPI
1396481081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2399)
Enumeration Date
2022-05-06
Last Update Date
2022-05-06
Business Address
CATHERINE GRACE JEZEK COTA/L
2552 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-893-3735
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Mailing Address
CATHERINE GRACE JEZEK COTA/L
2012 E PRINCETON ST
BROKEN ARROW, OK 74012-2095
Phone number: 405-306-9507
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