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1790331718
JAVIER IBANEZ
OKLAHOMA CITY, OK
NPI
1790331718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2096)
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
JAVIER IBANEZ COTA
1414 SW 89TH ST STE A
OKLAHOMA CITY, OK 73159-6312
Phone number: 405-703-8424
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Mailing Address
JAVIER IBANEZ COTA
1414 SW 89TH ST STE A
OKLAHOMA CITY, OK 73159-6312
Phone number: 405-703-8424
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