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1568780385
BONNIE SUE LAKE
EDMOND, OK
NPI
1568780385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 1070)
Enumeration Date
2010-05-05
Last Update Date
2012-08-27
Business Address
Mrs. BONNIE SUE LAKE OT
1425 S SANTA FE AVE SUITE E
EDMOND, OK 73003-5901
Phone number: 405-285-8845
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Mailing Address
Mrs. BONNIE SUE LAKE OT
700 NW 7TH ST SUITE 302
OKLAHOMA CITY, OK 73102-1212
Phone number: 405-609-3675
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