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1982294468
LISA MARIE HADSALL
SHAWNEE, OK
NPI
1982294468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 1582)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
LISA MARIE HADSALL COTA/L
3903 N HARRISON ST
SHAWNEE, OK 74804-1426
Phone number: 405-585-2971
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Mailing Address
LISA MARIE HADSALL COTA/L
3903 N HARRISON ST
SHAWNEE, OK 74804-1426
Phone number: 405-585-2971
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