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1518694785
JESSA LANE
OKLAHOMA CITY, OK
NPI
1518694785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3532)
Enumeration Date
2022-08-06
Last Update Date
2022-08-06
Business Address
JESSA LANE PTA
10908C N MAY AVE
OKLAHOMA CITY, OK 73120-6202
Phone number: 405-297-4500
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Mailing Address
JESSA LANE PTA
440 MERCHANT DR
NORMAN, OK 73069-6470
Phone number: 405-809-8713
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