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1740872464
MELISSA SUE LEWIS
TAHLEQUAH, OK
NPI
1740872464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2145)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
MELISSA SUE LEWIS COTA/L
1510 N GRAND AVE
TAHLEQUAH, OK 74464-6318
Phone number: 918-708-2119
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Mailing Address
MELISSA SUE LEWIS COTA/L
1510 N GRAND AVE
TAHLEQUAH, OK 74464-6318
Phone number: 918-441-1220
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