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Individual

CLAIRE JANIE MANTOOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2844 COUNTY STREET 2791, CHICKASHA, OK 73018-8144
(405) 474-0849
Mailing address
2844 COUNTY STREET 2791, CHICKASHA, OK 73018-8144
(405) 474-0849

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/05/2012
Last updated
07/05/2012
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Product
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  • EDI platform