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Individual

JULIET CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
416 W 15TH ST STE 600, EDMOND, OK 73013-3672
(405) 562-6072
Mailing address
64 E 33RD ST, EDMOND, OK 73013-4603

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BAC803756
OK

Other

Enumeration date
05/27/2022
Last updated
07/30/2025
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