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Individual

LAURIEL CANDACE RAMDIAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(539) 777-0940
Mailing address
8131 S 77TH EAST AVE APT 301N, TULSA, OK 74133-3956
(918) 861-6992

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/20/2022
Last updated
08/27/2025
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