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1811336829
STEPHANIE DAWN MALLAM
OKLAHOMA CITY, OK
NPI
1811336829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 1280)
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
MS. STEPHANIE DAWN MALLAM OTR/L
3017 N STILES AVE # 200
OKLAHOMA CITY, OK 73105-2811
Phone number: 405-795-8591
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Mailing Address
MS. STEPHANIE DAWN MALLAM OTR/L
5601 NORMAN RD
WARR ACRES, OK 73122-7351
Phone number: 405-401-4838
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