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1912471640
JEFFREY RYAN AMBROSE
TULSA, OK
NPI
1912471640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT1700)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
Mr. JEFFREY RYAN AMBROSE OTR
1519 S BOSTON AVE
TULSA, OK 74119-4015
Phone number: 918-712-7805
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Mailing Address
Mr. JEFFREY RYAN AMBROSE OTR
459 STARLING CT APT 102
WADSWORTH, OH 44281-7926
Phone number: 330-907-3517
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