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1679252860
ETHAN WEDEL
OKLAHOMA CITY, OK
NPI
1679252860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2519)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
ETHAN WEDEL
3635 NW 39TH EXPRESSWAY
OKLAHOMA CITY, OK 73112-6309
Phone number: 405-857-8280
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Mailing Address
ETHAN WEDEL
3635 NW 39TH EXPRESSWAY
OKLAHOMA CITY, OK 73112-6309
Phone number: 405-857-8280
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