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Individual

ALLEN STARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BHRS

Contact information

Practice address
25009 US HIGHWAY 270, HOWE, OK 74940-7221
(918) 839-4844
Mailing address
25009 US HIGHWAY 270, HOWE, OK 74940-7221
(918) 839-4844

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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