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Individual

BROOKLYN SHANAE BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2240 36TH AVE NW, NORMAN, OK 73072-3251
(405) 253-0071
Mailing address
2240 36TH AVE NW, NORMAN, OK 73072-3251

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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