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Individual

MR. DANIEL L HISHAW SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
5744 E 63RD PL, TULSA, OK 74136-2715
(918) 231-7680
Mailing address
5744 E 63RD PL, TULSA, OK 74136-2715
(918) 231-7680

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
T080647493
OK

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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