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Individual

CHARITY BOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13821 TECHNOLOGY DR UNIT A1, OKLAHOMA CITY, OK 73134-1045
(539) 777-0940
Mailing address
14300 S ROCKWELL AVE, OKLAHOMA CITY, OK 73173-8521

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/21/2022
Last updated
02/21/2022
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