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Individual

MR. EVERETT HOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 NE 15TH ST, OKLAHOMA CITUY, OK 73117
(405) 974-9812
Mailing address
1100 NE 15TH ST, OKLAHOMA CITY, OK 73117-1010
(405) 974-8212

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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