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1013419449
AMIKO FALLON ASAMEN
TULSA, OK
NPI
1013419449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-01
Last Update Date
2023-12-07
Business Address
AMIKO FALLON ASAMEN
4515 E 91ST ST STE 201
TULSA, OK 74137-2862
Phone number: 918-730-9123
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Mailing Address
AMIKO FALLON ASAMEN
RR 1 BOX 144
GORE, OK 74435-9507
Phone number:
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