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1912275157
LANNY SETIAWAN
TULSA, OK
NPI
1912275157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
-- LANNY SETIAWAN
2448 E 81ST STREET SUITE 4824
TULSA, OK 74137-4320
Phone number: 918-392-7875
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Mailing Address
-- LANNY SETIAWAN
6212 E 72ND STREET APT 829
TULSA, OK 74136-6945
Phone number: 918-859-4035
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