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Individual

MISS PATRICIA BLANCHE HOLDERBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED

Contact information

Practice address
15641 W 871 RD, PARK HILL, OK 74451-4063
(918) 457-4759
Mailing address
15641 W 871 RD, PARK HILL, OK 74451-4063
(918) 457-4759

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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