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Individual

MISS AMANDA JEWEL WALKUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
3516 WYNN CIR, EDMOND, OK 73013-4635
(405) 312-1460
Mailing address
3516 WYNN CIR, EDMOND, OK 73013-4635
(405) 312-1460

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/22/2011
Last updated
03/22/2011
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Product
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