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Individual

ARTAYSHA RAYNELL WHIBBEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 E MEMORIAL RD, OKLAHOMA CITY, OK 73114-2288
(512) 377-1764
Mailing address
401 E MEMORIAL RD STE 700, OKLAHOMA CITY, OK 73114-2287
(512) 377-1764

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24392454
OK

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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