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Individual

JULIE CAPUCCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
510 NE 45TH ST, LAWTON, OK 73507-6101
(580) 353-5111
Mailing address
510 NE 45TH ST, LAWTON, OK 73507-6101
(580) 353-5111

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
915
OK

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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