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1902654676
LARA LEE HENSLEY
EDMOND, OK
NPI
1902654676
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Former Name
LARA LEE LAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1226)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
Ms. LARA LEE HENSLEY COTA/L
307 E DANFORTH RD STE 130
EDMOND, OK 73034-4485
Phone number: 405-397-3550
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Mailing Address
Ms. LARA LEE HENSLEY COTA/L
18601 GARDEN RIDGE RD
EDMOND, OK 73012-8214
Phone number: 405-590-7879
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