Individual
MRS. PATRICE DENICE AZEBBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 MEADOWPARK DR, MIDWEST CITY, OK 73110-7024
(405) 886-4972
Mailing address
4325 MEADOWPARK DR, MIDWEST CITY, OK 73110-7024
(405) 886-4972
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/13/2013
Last updated
04/13/2013
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