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1801553151
JODIE RENAE WELLS
SHAWNEE, OK
NPI
1801553151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 5482)
Enumeration Date
2021-11-22
Last Update Date
2024-11-14
Business Address
JODIE RENAE WELLS OT
2506 N HARRISON ST
SHAWNEE, OK 74804-3131
Phone number: 405-214-0300
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Mailing Address
JODIE RENAE WELLS OT
3315 KETHLEY RD
SHAWNEE, OK 74804-9638
Phone number: 405-395-3821
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