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Individual

KARSTEN CONNER WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
8512 NW 114TH ST, OKLAHOMA CITY, OK 73162-2237
(405) 625-7860
Mailing address
8512 NW 114TH ST, OKLAHOMA CITY, OK 73162-2237
(405) 625-7860

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
H083926704
OK

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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