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Individual

WYAKIE S BREATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1031 NE 7TH ST, OKLAHOMA CITY, OK 73117-1421
(405) 819-6827
Mailing address
1031 NE 7TH ST, OKLAHOMA CITY, OK 73117-1421
(405) 819-6827

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/15/2010
Last updated
11/15/2010
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