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1982940052
KELLY RAE HALE
BROKEN ARROW, OK
NPI
1982940052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 0977)
Enumeration Date
2012-12-18
Last Update Date
2012-12-18
Business Address
KELLY RAE HALE COTA/L
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number: 919-307-0233
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Mailing Address
KELLY RAE HALE COTA/L
4300 W HOUSTON ST
BROKEN ARROW, OK 74012-4519
Phone number:
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