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1891466314
JESSICA WADDLE
EDMOND, OK
NPI
1891466314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 2069)
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
JESSICA WADDLE COTA
1712 S BOULEVARD
EDMOND, OK 73013-5144
Phone number: 405-606-5768
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Mailing Address
JESSICA WADDLE COTA
1712 S BOULEVARD
EDMOND, OK 73013-5144
Phone number: 405-606-5768
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MYCARE THERAPY LLC