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Individual

NATASHA LOUISE PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1717 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5103
(405) 622-4239
Mailing address
21153 RIVER MIST DR, HARRAH, OK 73045-5013
(405) 622-4239

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-2828780
OK

Other

Enumeration date
07/22/2026
Last updated
07/22/2026
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