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1700470176
LAUREN ELISA STATON
SOUTHLAKE, TX
NPI
1700470176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 121538)
Enumeration Date
2021-02-25
Last Update Date
2024-09-18
Business Address
LAUREN ELISA STATON OTR/L
1140 N KIMBALL AVE
SOUTHLAKE, TX 76092-5569
Phone number: 817-479-7019
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Mailing Address
LAUREN ELISA STATON OTR/L
7512 SANTOLINA DR
ARGYLE, TX 76226-3820
Phone number: 972-310-2811
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