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1427279728
MIMI MARY SHAW
TULSA, OK
NPI
1427279728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 1029)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- MIMI MARY SHAW O.T.
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-474-1474
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Mailing Address
-- MIMI MARY SHAW O.T.
2509 S HARVARD CT APT 27A
TULSA, OK 74114-4626
Phone number: 918-748-4417
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