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1982475687
JENNIFER ANN LAISLE
OKLAHOMA CITY, OK
NPI
1982475687
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Former Name
JENNIFER ANN BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 1376)
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
JENNIFER ANN LAISLE MOT/L
4350 WILL ROGERS PKWY STE 600
OKLAHOMA CITY, OK 73108-1808
Phone number: 405-514-1627
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Mailing Address
JENNIFER ANN LAISLE MOT/L
2707 S LOBLOLLY LN
EDMOND, OK 73012-1301
Phone number: 405-514-1627
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