Individual
MR. MUASE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4712 S 91ST EAST AVE, TULSA, OK 74145-7247
(918) 202-4367
Mailing address
308 N ASPEN AVE, BROKEN ARROW, OK 74012-2205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/03/2022
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