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1912278532
PAMELA S GRANTZ
ENID, OK
NPI
1912278532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 793)
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
-- PAMELA S GRANTZ OTR/L
305 S 5TH ST
ENID, OK 73701-5832
Phone number: 580-233-6100
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Mailing Address
-- PAMELA S GRANTZ OTR/L
21419 E FOX DR
COVINGTON, OK 73730-2015
Phone number: 580-864-7475
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