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1538558705
STACEY RENEE WELLS
OKLAHOMA CITY, OK
NPI
1538558705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 434)
Enumeration Date
2015-01-12
Last Update Date
2015-01-12
Business Address
MRS. STACEY RENEE WELLS COTA/L
4350 WILL ROGERS PKWY SUITE 600
OKLAHOMA CITY, OK 73108-1826
Phone number: 405-246-6674
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Mailing Address
MRS. STACEY RENEE WELLS COTA/L
19165 S 4210 RD
CLAREMORE, OK 74019-4290
Phone number: 918-231-1758
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