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Individual

KARSUN PAIGE DENEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1704 W INDUSTRIAL DR, ROGERS, AR 72756-2492
(479) 439-6906
Mailing address
4571 E 107TH ST, TULSA, OK 74137-6853
(417) 827-0911

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/05/2019
Last updated
12/05/2019
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