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Individual

MS. BLAIR LAUVSTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13905 TECHNOLOGY DR # A1, OKLAHOMA CITY, OK 73134-1054
(405) 389-4530
Mailing address
2312 BRADFORD CIR, NEWCASTLE, OK 73065-5052
(816) 853-6477

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-132444
OK

Other

Enumeration date
08/25/2020
Last updated
08/25/2020
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