Individual
MICHELLE FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 560-1399
Mailing address
3202 W 69TH CT, TULSA, OK 74132-1713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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