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Individual

HANNAH MISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(539) 777-0940
Mailing address
8103 N 75TH EAST AVE, OWASSO, OK 74055-7672

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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