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Individual

AMANDA JILL TARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3000 UNITED FOUNDERS BLVD, OKLAHOMA CITY, OK 73112-3958
(405) 651-8483
Mailing address
3000 UNITED FOUNDERS BLVD, OKLAHOMA CITY, OK 73112-3958
(405) 651-8483

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
173746
OK

Other

Enumeration date
01/23/2022
Last updated
01/23/2022
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