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1679158422
SHELBY COPELAND
TAHLEQUAH, OK
NPI
1679158422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2287)
Enumeration Date
2021-03-12
Last Update Date
2021-03-13
Business Address
SHELBY COPELAND COTA/L
1510 N GRAND AVE
TAHLEQUAH, OK 74464-6318
Phone number: 918-708-2119
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Mailing Address
SHELBY COPELAND COTA/L
23501 W 221ST ST S
KELLYVILLE, OK 74039-5667
Phone number:
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