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1659089845
STELLA AILEEN STUCK
TULSA, OK
NPI
1659089845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1204)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
STELLA AILEEN STUCK COTA/L
8222 S YALE AVE
TULSA, OK 74137-2246
Phone number: 918-493-1200
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Mailing Address
STELLA AILEEN STUCK COTA/L
3923 S TAMARACK PL
BROKEN ARROW, OK 74011-1379
Phone number: 918-704-5462
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