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1790918902
LISA JANELL SMITH
BROKEN ARROW, OK
NPI
1790918902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2009-09-03
Last Update Date
2009-09-03
Business Address
-- LISA JANELL SMITH COTA
2221 W DETROIT ST
BROKEN ARROW, OK 74012-3628
Phone number: 918-615-6492
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Mailing Address
-- LISA JANELL SMITH COTA
2221 W DETROIT ST
BROKEN ARROW, OK 74012-3628
Phone number: 918-615-6492
Copy
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