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1881177863
JENNIFER LEA SHORT
BROKEN ARROW, OK
NPI
1881177863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1419)
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
JENNIFER LEA SHORT COTA
701 S MAIN ST
BROKEN ARROW, OK 74012-5528
Phone number: 918-845-8641
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Mailing Address
JENNIFER LEA SHORT COTA
2114 W WALNUT ST
COLLINSVILLE, OK 74021-1708
Phone number: 918-845-8641
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