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Individual

KEYANA MOBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6325 N CENTER DR STE 121, NORFOLK, VA 23502-0012
(757) 901-0646
Mailing address
14002 E 21ST ST STE 1200, TULSA, OK 74134-1409

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D141173003
MO

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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