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Individual

ADELAJA ALABA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 332-2323
Mailing address
219 CHATEAU AVE, KENNEDALE, TX 76060-2109
(817) 501-5420

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
02/15/2024
Last updated
02/15/2024
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